MANA VAJANAPHANICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033422

License Status

EXPIRED

Business

First Name

MANA

Last Name

VAJANAPHANICH

Business Name

MANA VAJANAPHANICH

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006