JATUPOL KOSITSAWAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047119

License Status

EXPIRED

Business

First Name

JATUPOL

Last Name

KOSITSAWAT

Suffix

Business Name

JATUPOL KOSITSAWAT MD

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

10/07/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006