TANATIP P KORTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107118

License Status

ACTIVE

Business

First Name

TANATIP

Middle

Last Name

KORTE

Suffix

Business Name

TANATIP P KORTE MD

Original Issue Date

06/06/2002

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/23/2023