WANWARAT ANANTHAPANYASUT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050628

License Status

EXPIRED

Business

First Name

WANWARAT

Last Name

ANANTHAPANYASUT

Suffix

Business Name

WANWARAT ANANTHAPANYASUT MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009