KIRK ALLEN CHOTTANAPUND MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039821

License Status

EXPIRED

Business

First Name

KIRK

Middle

ALLEN

Last Name

CHOTTANAPUND

Suffix

Business Name

KIRK ALLEN CHOTTANAPUND MD

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006