VIJAK SIRIWONGSE AYASANONDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112531

License Status

NOT RENEWED

Business

First Name

VIJAK

Middle

SIRIWONGSE

Last Name

AYASANONDA

Suffix

Business Name

VIJAK SIRIWONGSE AYASANONDA MD

Original Issue Date

10/15/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

03/06/2009