HIROSHI CHANTAPHAKUL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030450

License Status

EXPIRED

Business

First Name

HIROSHI

Last Name

CHANTAPHAKUL

Business Name

HIROSHI CHANTAPHAKUL

Original Issue Date

06/24/1993

Effective Date

06/24/1993

Expiration Date

06/20/1996

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006