NATH CHONGSUWAT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067782

License Status

CANCELLED

Business

Title

First Name

NATH

Last Name

CHONGSUWAT

Business Name

NATH CHONGSUWAT MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/22/2015