License Directory

Phadej Keopunna Md

Expired

Illinois license 036046957

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036046957
Status
Expired (Not Renewed)
First issued
February 7, 1973
License holder
Phadej Keopunna Md
Entity type
Individual

Classifications

More from the license record

Current term began
02/07/1973

Contact

Saginaw, MI 48602
Michigan County