BHOOWIT LERTTIENDAMRONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086759

License Status

ACTIVE

Business

Title

First Name

BHOOWIT

Last Name

LERTTIENDAMRONG

Business Name

BHOOWIT LERTTIENDAMRONG MD

Original Issue Date

06/27/2025

Effective Date

06/27/2025

Expiration Date

06/26/2028

City

CHICAGO

State

Zip

60640

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2025