PATARIN JAOVISIDHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030829

License Status

EXPIRED

Business

First Name

PATARIN

Last Name

JAOVISIDHA

Suffix

Business Name

PATARIN JAOVISIDHA MD

Original Issue Date

04/11/1994

Effective Date

04/11/1994

Expiration Date

05/31/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006