NATAWADEE PRASERTPHON YOUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098216

License Status

NOT RENEWED

Business

First Name

NATAWADEE

Middle

PRASERTPHON

Last Name

YOUNG

Suffix

Business Name

NATAWADEE PRASERTPHON YOUNG MD

Original Issue Date

07/07/1998

Effective Date

07/07/1998

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006