PIMOL SRISUPARP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035532

License Status

EXPIRED

Business

First Name

PIMOL

Last Name

SRISUPARP

Business Name

PIMOL SRISUPARP

Original Issue Date

09/06/1996

Effective Date

09/06/1996

Expiration Date

09/04/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006