PONGTONG UPAPONG DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038005097

License Status

INACTIVE

Business

First Name

PONGTONG

Last Name

UPAPONG

Suffix

Business Name

PONGTONG UPAPONG DC

Original Issue Date

01/30/1984

Effective Date

08/22/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011