LERTLUCK NUTAKUL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078977

License Status

INACTIVE

Business

First Name

LERTLUCK

Last Name

NUTAKUL

Suffix

Business Name

LERTLUCK NUTAKUL MD

Original Issue Date

06/09/1989

Effective Date

06/09/1989

Expiration Date

07/31/1990

City

ROCHELLE

State

Zip

61068

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006