MANA VAJANAPHANICH Medical Doctor License verification

Business Entity

Non Sufficient Fund Check Terminated

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093597

License Status

Non Sufficient Fund Check Terminated

Business

First Name

MANA

Last Name

VAJANAPHANICH

Business Name

MANA VAJANAPHANICH

Original Issue Date

07/13/1996

Effective Date

07/13/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006