RICHARD KAMPANATKOSOL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053257

License Status

CANCELLED

Business

Title

First Name

RICHARD

Last Name

KAMPANATKOSOL

Business Name

RICHARD KAMPANATKOSOL DO

Original Issue Date

06/28/2007

Effective Date

06/28/2007

Expiration Date

06/27/2010

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/26/2007