Puang Tantamjarik Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036048128

Status

Expired (Not Renewed)

First issued

August 23, 1973

License holder

Puang Tantamjarik Md

Entity type

Individual

Classifications

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

More from the license record

Current term began

08/23/1973

Other Illinois licenses under this name

• IL
  Puang Tantamjarik Md

  License 33*****29

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Homewood, IL

  Expired Sep 1, 1982

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