YUTTANA CHAWENGSUB MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063902

License Status

EXPIRED

Business

First Name

YUTTANA

Last Name

CHAWENGSUB

Suffix

Business Name

YUTTANA CHAWENGSUB MD

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

06/26/2016

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016