NATAKOM N CHULAMORKODT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043202

License Status

EXPIRED

Business

First Name

NATAKOM

Middle

Last Name

CHULAMORKODT

Suffix

Business Name

NATAKOM N CHULAMORKODT MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/03/2007