SOELOT JULIA CHANTACHOTE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061096

License Status

CANCELLED

Business

Title

First Name

SOELOT

Middle

JULIA

Last Name

CHANTACHOTE

Business Name

SOELOT JULIA CHANTACHOTE MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014