DAVIS P VIPRAKASIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116617

License Status

NOT RENEWED

Business

First Name

DAVIS

Middle

Last Name

VIPRAKASIT

Suffix

Business Name

DAVIS P VIPRAKASIT MD

Original Issue Date

07/26/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011