NIYADA NAKSUK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145250

License Status

NOT RENEWED

Business

Title

First Name

NIYADA

Last Name

NAKSUK

Business Name

NIYADA NAKSUK MD

Original Issue Date

03/06/2018

Effective Date

03/06/2018

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60301

Ever Disciplined

LastModifiedDate

01/14/2021