PAKIT PORNCHAIVICHIT - Physical Therapist License in Illinois | # 070005943

PAKIT PORNCHAIVICHIT

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005943

License Status

NOT RENEWED

Business

N

First Name

PAKIT

Last Name

PORNCHAIVICHIT

Business Name

PAKIT PORNCHAIVICHIT

Original Issue Date

01/27/1990

Effective Date

01/27/1990

Expiration Date

09/30/2004

City

SKOKIE

State

IL

Zip

60077

County

COOK

Ever Disciplined

N

LastModifiedDate

10/17/2005