TAWEEVAT ASSAVAPOKEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125973

License Status

INACTIVE

Business

First Name

TAWEEVAT

Last Name

ASSAVAPOKEE

Suffix

Business Name

TAWEEVAT ASSAVAPOKEE MD

Original Issue Date

06/08/2010

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2011