Boonlua Lucktong Md
ExpiredIllinois 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
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 02/05/1974
Contact
Newport, TN 37821
Tennessee County