SOMSAK THIPLUEPORN - Medical Doctor License in Illinois | # 125030223

SOMSAK THIPLUEPORN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030223

License Status

EXPIRED

Business

N

First Name

SOMSAK

Last Name

THIPLUEPORN

Business Name

SOMSAK THIPLUEPORN

Original Issue Date

06/10/1993

Effective Date

06/10/1993

Expiration Date

06/23/1996

City

EVANSTON

State

IL

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006