PRAJAKS CHANTARATHERAKITTI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052114

License Status

NOT RENEWED

Business

First Name

PRAJAKS

Last Name

CHANTARATHERAKITTI

Business Name

PRAJAKS CHANTARATHERAKITTI

Original Issue Date

11/14/1975

Effective Date

11/14/1975

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006