PITTAYA VEJVIBOONSOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062617

License Status

NOT RENEWED

Business

First Name

PITTAYA

Last Name

VEJVIBOONSOM

Suffix

Business Name

PITTAYA VEJVIBOONSOM MD

Original Issue Date

07/27/1981

Effective Date

07/27/1981

Expiration Date

07/31/1984

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2006