Bansan Tantasavasdi Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036048874

Status

Expired (Not Renewed)

First issued

February 5, 1974

Expired

July 1, 1982

License holder

Bansan Tantasavasdi Md

Entity type

Individual

Classifications

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

More from the license record

Current term began

02/05/1974

Other Illinois licenses under this name

• IL
  Bansan Tantasavasdi Md

  License 33*****41

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Chicago, IL

  Expired Sep 1, 1982

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