License Directory

Thien Thitivarana Md

Expired

Illinois license 036048879

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036048879
Status
Expired (Not Renewed)
First issued
February 5, 1974
License holder
Thien Thitivarana Md
Entity type
Individual

Classifications

More from the license record

Current term began
02/05/1974

Contact

Lubbock, TX 79423
Texas County