AKAVUT SUESAKUL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056550

License Status

CANCELLED

Business

Title

First Name

AKAVUT

Last Name

SUESAKUL

Business Name

AKAVUT SUESAKUL MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/04/2009