KULTIDA SOONTARAPORNCHAI MD - Medical Doctor License in Illinois | # 125053503

KULTIDA SOONTARAPORNCHAI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053503

License Status

CANCELLED

Business

N

Title

MD

First Name

KULTIDA

Last Name

SOONTARAPORNCHAI

Business Name

KULTIDA SOONTARAPORNCHAI MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

IL

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

06/06/2007