NANTAPAT SUPAPANNACHART Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024101

License Status

EXPIRED

Business

First Name

NANTAPAT

Last Name

SUPAPANNACHART

Business Name

NANTAPAT SUPAPANNACHART

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

07/01/1990

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006