PASSARA LIANGTHANASARN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037998

License Status

CANCELLED

Business

First Name

PASSARA

Last Name

LIANGTHANASARN

Suffix

Business Name

PASSARA LIANGTHANASARN MD

Original Issue Date

05/27/1998

Effective Date

05/27/1998

Expiration Date

06/30/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006