SUPHAMAI BUNNAPRADIST Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030613

License Status

EXPIRED

Business

First Name

SUPHAMAI

Last Name

BUNNAPRADIST

Business Name

SUPHAMAI BUNNAPRADIST

Original Issue Date

07/08/1993

Effective Date

07/08/1993

Expiration Date

07/07/1996

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006