PHONEKEO KHAMVANTHONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134234

License Status

NOT RENEWED

Business

Title

First Name

PHONEKEO

Last Name

KHAMVANTHONG

Business Name

PHONEKEO KHAMVANTHONG MD

Original Issue Date

11/26/2013

Effective Date

11/26/2013

Expiration Date

07/31/2014

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014