PHANGA CHEANVECHAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056276

License Status

NOT RENEWED

Business

First Name

PHANGA

Last Name

CHEANVECHAI

Suffix

Business Name

PHANGA CHEANVECHAI MD

Original Issue Date

01/13/1978

Effective Date

01/13/1978

Expiration Date

07/31/1984

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006