THANH SON THAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051836

License Status

CANCELLED

Business

First Name

THANH

Middle

SON

Last Name

THAI

Suffix

Business Name

THANH SON THAI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

OAK PARK

State

Zip

60302

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006