SARAYUT SUPAPANNACHART MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018864

License Status

EXPIRED

Business

First Name

SARAYUT

Last Name

SUPAPANNACHART

Suffix

Business Name

SARAYUT SUPAPANNACHART MD

Original Issue Date

07/17/1985

Effective Date

07/17/1985

Expiration Date

07/01/1988

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006