CHALONGCHAI PHITSANUWONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057585

License Status

EXPIRED

Business

Title

First Name

CHALONGCHAI

Last Name

PHITSANUWONG

Business Name

CHALONGCHAI PHITSANUWONG MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

10/07/2013