LALIDA CHUPATANAKUL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062523

License Status

CANCELLED

Business

Title

First Name

LALIDA

Last Name

CHUPATANAKUL

Business Name

LALIDA CHUPATANAKUL MD

Original Issue Date

04/11/2013

Effective Date

04/11/2013

Expiration Date

04/10/2016

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014