DAVIS P VIPRAKASIT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045590

License Status

EXPIRED

Business

First Name

DAVIS

Middle

Last Name

VIPRAKASIT

Suffix

Business Name

DAVIS P VIPRAKASIT MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/15/2009