POONSRI KEOMUAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049055

License Status

NOT RENEWED

Business

First Name

POONSRI

Last Name

KEOMUAN

Suffix

Business Name

POONSRI KEOMUAN MD

Original Issue Date

03/26/1974

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021