ORAWAN SUKAVACHANA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085859

License Status

ACTIVE

Business

Title

First Name

ORAWAN

Last Name

SUKAVACHANA

Business Name

ORAWAN SUKAVACHANA MD

Original Issue Date

03/04/1993

Effective Date

04/23/2024

Expiration Date

07/31/2026

City

INVERNESS

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2021005619

Action

Suspension

Discipline Start Date

10/22/2021

Discipline End Date

01/11/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/17/2024.