THOMSON K CHEMPLAVIL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030363

License Status

EXPIRED

Business

First Name

THOMSON K

Last Name

CHEMPLAVIL

Business Name

THOMSON K CHEMPLAVIL

Original Issue Date

06/15/1993

Effective Date

06/15/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006