SARAYUT SUPAPANNACHART MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073971

License Status

INACTIVE

Business

First Name

SARAYUT

Last Name

SUPAPANNACHART

Suffix

Business Name

SARAYUT SUPAPANNACHART MD

Original Issue Date

10/20/1986

Effective Date

10/20/1986

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006