KIRK KITTIKAMRON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045909

License Status

EXPIRED

Business

First Name

KIRK

Last Name

KITTIKAMRON

Business Name

KIRK KITTIKAMRON

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/30/2006

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006