NANTAPAT SUPAPANNACHART Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085923

License Status

NOT RENEWED

Business

First Name

NANTAPAT

Last Name

SUPAPANNACHART

Business Name

NANTAPAT SUPAPANNACHART

Original Issue Date

03/25/1993

Effective Date

03/25/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006