License Directory

Sampanta Boonjarern Md

Inactive

Illinois license 036047641

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036047641
Status
Inactive
First issued
August 17, 1973
Expired
July 31, 1987
License holder
Sampanta Boonjarern Md
Entity type
Individual

Classifications

More from the license record

Current term began
08/17/1973

Contact

Lowell, IN 46357
Indiana County