PANEEYA SUTABUTRA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096904

License Status

NOT RENEWED

Business

First Name

PANEEYA

Last Name

SUTABUTRA

Business Name

PANEEYA SUTABUTRA

Original Issue Date

10/25/1997

Effective Date

10/25/1997

Expiration Date

07/31/2005

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006