SOELOT JULIA CHANTACHOTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

SOELOT

Middle

JULIA

Last Name

CHANTACHOTE

Business Name

SOELOT JULIA CHANTACHOTE MD

Original Issue Date

10/03/2014

Effective Date

10/03/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/01/2017