CHANATIP SUKSANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099409

License Status

NOT RENEWED

Business

First Name

CHANATIP

Last Name

SUKSANG

Business Name

CHANATIP SUKSANG

Original Issue Date

12/18/1998

Effective Date

12/18/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006