SOPHON KAMNEODSUPHAPHOL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054207

License Status

INACTIVE

Business

First Name

SOPHON

Last Name

KAMNEODSUPHAPHOL

Suffix

Business Name

SOPHON KAMNEODSUPHAPHOL MD

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

07/31/1996

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006