THANOMSAKDI KULLAVANIJAYA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063962

License Status

INACTIVE

Business

First Name

THANOMSAKDI

Last Name

KULLAVANIJAYA

Suffix

Business Name

THANOMSAKDI KULLAVANIJAYA MD

Original Issue Date

02/25/1982

Effective Date

02/25/1982

Expiration Date

07/31/1999

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006