RUNGSUN RERKNIMITR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029228

License Status

EXPIRED

Business

First Name

RUNGSUN

Last Name

RERKNIMITR

Business Name

RUNGSUN RERKNIMITR

Original Issue Date

03/25/1993

Effective Date

03/25/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006