SUPHAMAI BUNNAPRADIST Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091840

License Status

NOT RENEWED

Business

First Name

SUPHAMAI

Last Name

BUNNAPRADIST

Business Name

SUPHAMAI BUNNAPRADIST

Original Issue Date

09/16/1995

Effective Date

09/16/1995

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006