RUNGSUN RERKNIMITR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091332

License Status

NOT RENEWED

Business

First Name

RUNGSUN

Last Name

RERKNIMITR

Business Name

RUNGSUN RERKNIMITR

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006