License Directory

Boonlua Lucktong Md

Expired

Illinois license 036048764

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036048764
Status
Expired (Not Renewed)
First issued
February 5, 1974
Expired
July 31, 1984
License holder
Boonlua Lucktong Md
Entity type
Individual

Classifications

More from the license record

Current term began
02/05/1974

Contact

Newport, TN 37821
Tennessee County