License Directory

Srivimol C Tantamjarik Md

Expired

Illinois license 036046365

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036046365
Status
Expired (Not Renewed)
First issued
August 17, 1972
License holder
Srivimol C Tantamjarik Md
Entity type
Individual

Classifications

More from the license record

Current term began
08/17/1972

Other Illinois licenses under this name

  • IL
    Srivimol C Tantamjarik Md
    License 33*****34
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Anaheim, CA
    Expired Sep 1, 1982

Contact

Homewood, IL 60430
Cook County