SUWON VICKIE NOPACHAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057164

License Status

CANCELLED

Business

Title

First Name

SUWON

Middle

VICKIE

Last Name

NOPACHAI

Business Name

SUWON VICKIE NOPACHAI MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/15/2009