CHANKANOK KUAGOOLWONGSE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091310

License Status

NOT RENEWED

Business

First Name

CHANKANOK

Last Name

KUAGOOLWONGSE

Business Name

CHANKANOK KUAGOOLWONGSE

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006