JINTANAT ANAWORANICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030864

License Status

EXPIRED

Business

First Name

JINTANAT

Last Name

ANAWORANICH

Business Name

JINTANAT ANAWORANICH

Original Issue Date

04/25/1994

Effective Date

04/25/1994

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006