PHORNPHAT RASAMIMARI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035485

License Status

EXPIRED

Business

First Name

PHORNPHAT

Last Name

RASAMIMARI

Business Name

PHORNPHAT RASAMIMARI

Original Issue Date

07/31/1996

Effective Date

07/31/1996

Expiration Date

07/29/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006