BENJARAT CHANGYALEKET MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047249

License Status

EXPIRED

Business

First Name

BENJARAT

Last Name

CHANGYALEKET

Suffix

Business Name

BENJARAT CHANGYALEKET MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/03/2007