SITIHIAMPHONE PHETCHAMPHONE DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009954

License Status

ACTIVE

Business

First Name

SITIHIAMPHONE

Last Name

PHETCHAMPHONE

Suffix

Business Name

SITIHIAMPHONE PHETCHAMPHONE DC

Original Issue Date

04/30/2003

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/26/2023