SOMKIAT SOPONTAMMARAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091530

License Status

NOT RENEWED

Business

First Name

SOMKIAT

Last Name

SOPONTAMMARAK

Business Name

SOMKIAT SOPONTAMMARAK

Original Issue Date

08/03/1995

Effective Date

08/03/1995

Expiration Date

07/31/1999

City

HOMETOWN

State

Zip

60456

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2008