PANTHIPA LAOWANSIRI Medical Doctor License verification

Business Entity

Non Sufficient Fund Check Terminated

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052304

License Status

Non Sufficient Fund Check Terminated

Business

First Name

PANTHIPA

Last Name

LAOWANSIRI

Business Name

PANTHIPA LAOWANSIRI

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010