TANA CHONGSUWAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162807

License Status

ACTIVE

Business

Title

First Name

TANA

Last Name

CHONGSUWAT

Business Name

TANA CHONGSUWAT MD

Original Issue Date

11/03/2022

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

05/10/2023