CHALERMLARP MONGKOLSMAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059805

License Status

NOT RENEWED

Business

First Name

CHALERMLARP

Last Name

MONGKOLSMAI

Suffix

Business Name

CHALERMLARP MONGKOLSMAI MD

Original Issue Date

12/12/1979

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/01/2017