PHOLAPHAT C INBORIBOON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046686

License Status

EXPIRED

Business

Title

First Name

PHOLAPHAT

Middle

Last Name

INBORIBOON

Business Name

PHOLAPHAT C INBORIBOON MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006