PANITA CHIEMMONGKOLTIP Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094790

License Status

ACTIVE

Business

First Name

PANITA

Last Name

CHIEMMONGKOLTIP

Business Name

PANITA CHIEMMONGKOLTIP

Original Issue Date

02/10/1997

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023