MICHELLE SRISUWANANUKORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135097

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Last Name

SRISUWANANUKORN

Business Name

MICHELLE SRISUWANANUKORN MD

Original Issue Date

04/23/2014

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017