DANIEL ARUN CHIDPUNGTAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041415

License Status

EXPIRED

Business

First Name

DANIEL

Middle

ARUN

Last Name

CHIDPUNGTAM

Suffix

Business Name

DANIEL ARUN CHIDPUNGTAM MD

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

06/25/2003

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006