PRAYUK A WARAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023537

License Status

EXPIRED

Business

First Name

PRAYUK

Middle

Last Name

WARAN

Business Name

PRAYUK A WARAN

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2014