ANDREW SRISUWANANUKORN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071047

License Status

EXPIRED

Business

Title

First Name

ANDREW

Last Name

SRISUWANANUKORN

Business Name

ANDREW SRISUWANANUKORN MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020