KULTIDA SOONTARAPORNCHAI MD - Medical Doctor License in Illinois | # 130000817

KULTIDA SOONTARAPORNCHAI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000817

License Status

EXPIRED

Business

N

Title

MD

First Name

KULTIDA

Last Name

SOONTARAPORNCHAI

Business Name

KULTIDA SOONTARAPORNCHAI MD

Original Issue Date

02/01/2010

Effective Date

02/01/2010

Expiration Date

03/31/2010

City

PARK RIDGE

State

IL

Zip

60068

County

COOK

Specialty/Qualifier

Pediatric Critical Care (Pediatrics)

Ever Disciplined

N

LastModifiedDate

04/02/2010