NATAKOM N CHULAMORKODT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115081

License Status

NOT RENEWED

Business

First Name

NATAKOM

Middle

Last Name

CHULAMORKODT

Suffix

Business Name

NATAKOM N CHULAMORKODT MD

Original Issue Date

01/06/2006

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011