GUNTIPPAR SOONTAREE PRATUMNGERN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105741

License Status

ACTIVE

Business

First Name

GUNTIPPAR

Middle

SOONTAREE

Last Name

PRATUMNGERN

Suffix

Business Name

GUNTIPPAR SOONTAREE PRATUMNGERN DO

Original Issue Date

10/22/2001

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2025