PITCHAMOL VILAISAKTIPAKORN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071750

License Status

EXPIRED

Business

Title

First Name

PITCHAMOL

Last Name

VILAISAKTIPAKORN

Business Name

PITCHAMOL VILAISAKTIPAKORN MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

03/06/2024