DONNA M BHISITKUL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078708

License Status

INACTIVE

Business

First Name

DONNA M

Last Name

BHISITKUL

Business Name

DONNA M BHISITKUL

Original Issue Date

04/15/1989

Effective Date

04/15/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006