UTCHARIYA ANANTAMONGKOL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065250

License Status

EXPIRED

Business

Title

First Name

UTCHARIYA

Last Name

ANANTAMONGKOL

Business Name

UTCHARIYA ANANTAMONGKOL MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/25/2018