CHANKANOK KUAGOOLWONGSE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029261

License Status

EXPIRED

Business

First Name

CHANKANOK

Last Name

KUAGOOLWONGSE

Business Name

CHANKANOK KUAGOOLWONGSE

Original Issue Date

04/19/1993

Effective Date

04/19/1993

Expiration Date

06/22/1996

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006