ETHAN NAPAT UNGCHUSRI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073548

License Status

CANCELLED

Business

Title

First Name

ETHAN

Middle

NAPAT

Last Name

UNGCHUSRI

Business Name

ETHAN NAPAT UNGCHUSRI MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Interventional Radiology - Integrated

Ever Disciplined

LastModifiedDate

02/14/2022