SOMKIAT SOPONTAMMARAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030682

License Status

EXPIRED

Business

First Name

SOMKIAT

Last Name

SOPONTAMMARAK

Business Name

SOMKIAT SOPONTAMMARAK

Original Issue Date

07/24/1993

Effective Date

07/24/1993

Expiration Date

07/22/1995

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006