JUNTIRA LAOTHAVORN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061354

License Status

EXPIRED

Business

Title

First Name

JUNTIRA

Last Name

LAOTHAVORN

Business Name

JUNTIRA LAOTHAVORN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

08/16/2016