PONPIMOL CHAWAPUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051603

License Status

NOT RENEWED

Business

First Name

PONPIMOL

Last Name

CHAWAPUN

Suffix

Business Name

PONPIMOL CHAWAPUN MD

Original Issue Date

08/15/1975

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014