UNGSANA ITTEMAKI PIRAKITIKULR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055315

License Status

NOT RENEWED

Business

First Name

UNGSANA ITTEMAKI

Last Name

PIRAKITIKULR

Suffix

Business Name

UNGSANA ITTEMAKI PIRAKITIKULR MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1984

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006