Phaisal Manomaivat Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036047988

Status

Expired (Not Renewed)

First issued

August 23, 1973

License holder

Phaisal Manomaivat Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

08/23/1973

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