VIRACH ANANTACHAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050262

License Status

NOT RENEWED

Business

First Name

VIRACH

Last Name

ANANTACHAI

Suffix

Business Name

VIRACH ANANTACHAI MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006