VITHIDA SUEBLINVONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035170

License Status

EXPIRED

Business

First Name

VITHIDA

Last Name

SUEBLINVONG

Business Name

VITHIDA SUEBLINVONG

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

06/25/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006