CHAIYUT CHAROENTUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099754

License Status

NOT RENEWED

Business

First Name

CHAIYUT

Last Name

CHAROENTUM

Business Name

CHAIYUT CHAROENTUM

Original Issue Date

03/03/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008