TERMKIAT KANCHANAPOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102825

License Status

NOT RENEWED

Business

First Name

TERMKIAT

Last Name

KANCHANAPOOM

Suffix

Business Name

TERMKIAT KANCHANAPOOM MD

Original Issue Date

06/24/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

11/06/2008