BUNDHIT TANTIWONGKOSI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046417

License Status

EXPIRED

Business

First Name

BUNDHIT

Last Name

TANTIWONGKOSI

Suffix

Business Name

BUNDHIT TANTIWONGKOSI MD

Original Issue Date

05/23/2003

Effective Date

05/23/2003

Expiration Date

06/22/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006