MICHELLE SRISUWANANUKORN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059528

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Last Name

SRISUWANANUKORN

Business Name

MICHELLE SRISUWANANUKORN MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014