VINCE VISITH SOUN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058438

License Status

CANCELLED

Business

Title

First Name

VINCE

Middle

VISITH

Last Name

SOUN

Business Name

VINCE VISITH SOUN MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/09/2013