KENZIE KITCHAROEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052202

License Status

EXPIRED

Business

Title

First Name

KENZIE

Last Name

KITCHAROEN

Business Name

KENZIE KITCHAROEN MD

Original Issue Date

01/01/2007

Effective Date

01/01/2007

Expiration Date

12/31/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

02/03/2010