SARIYA PRACHUKTHUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058319

License Status

EXPIRED

Business

Title

First Name

SARIYA

Last Name

PRACHUKTHUM

Business Name

SARIYA PRACHUKTHUM MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013