ANUWAT KEERASUNTONPONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031758

License Status

EXPIRED

Business

First Name

ANUWAT

Last Name

KEERASUNTONPONG

Business Name

ANUWAT KEERASUNTONPONG

Original Issue Date

06/09/1994

Effective Date

06/09/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006