NIPAPAT VISAVACHAIPAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125505

License Status

NOT RENEWED

Business

First Name

NIPAPAT

Last Name

VISAVACHAIPAN

Suffix

Business Name

NIPAPAT VISAVACHAIPAN MD

Original Issue Date

04/15/2010

Effective Date

04/15/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011