PORNTHEP TANPOWPONG MD - Medical Doctor License in Illinois | # 036119884

PORNTHEP TANPOWPONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119884

License Status

NOT RENEWED

Business

N

First Name

PORNTHEP

Last Name

TANPOWPONG

Suffix

MD

Business Name

PORNTHEP TANPOWPONG MD

Original Issue Date

12/20/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

IL

Zip

60610

County

COOK

Ever Disciplined

N

LastModifiedDate

11/14/2011