SOMCHIN N PUANGSUVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053499

License Status

EXPIRED

Business

First Name

SOMCHIN

Middle

Last Name

PUANGSUVAN

Suffix

Business Name

SOMCHIN N PUANGSUVAN MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008