PAVIT PIENVICHITR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092556

License Status

NOT RENEWED

Business

First Name

PAVIT

Last Name

PIENVICHITR

Business Name

PAVIT PIENVICHITR

Original Issue Date

04/03/1996

Effective Date

04/03/1996

Expiration Date

07/31/2005

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006