WIMOL A MITRAKUL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043044

License Status

EXPIRED

Business

First Name

WIMOL A

Last Name

MITRAKUL

Business Name

WIMOL A MITRAKUL

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/25/2004

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006