JAKAPAN BHONGSATIERN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087193

License Status

NOT RENEWED

Business

First Name

JAKAPAN

Last Name

BHONGSATIERN

Business Name

JAKAPAN BHONGSATIERN

Original Issue Date

08/12/1993

Effective Date

08/12/1993

Expiration Date

07/31/1996

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006