KESANY C BOUPAPANH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080160

License Status

EXPIRED

Business

Title

First Name

KESANY

Middle

Last Name

BOUPAPANH

Business Name

KESANY C BOUPAPANH MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2025