License Directory

Suwan Phanijphand Md

Expired

Illinois license 036050501

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036050501
Status
Expired (Not Renewed)
First issued
January 30, 1975
Expired
July 31, 1990
License holder
Suwan Phanijphand Md
Entity type
Individual

Classifications

More from the license record

Current term began
01/30/1975

Contact

Poplar Bluff, MO 63901
Missouri County