WADCHARA PUMPRADIT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036124

License Status

EXPIRED

Business

First Name

WADCHARA

Last Name

PUMPRADIT

Business Name

WADCHARA PUMPRADIT

Original Issue Date

05/16/1997

Effective Date

05/16/1997

Expiration Date

06/23/2000

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006