NIKOM UDOMPHONKUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050945

License Status

NOT RENEWED

Business

First Name

NIKOM

Last Name

UDOMPHONKUL

Suffix

Business Name

NIKOM UDOMPHONKUL MD

Original Issue Date

04/14/1975

Effective Date

04/14/1975

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006