License Directory

Rangsan Suvanaphochana Md

Expired

Illinois license 036052322

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036052322
Status
Expired (Not Renewed)
First issued
January 16, 1976
License holder
Rangsan Suvanaphochana Md
Entity type
Individual

Classifications

More from the license record

Current term began
01/16/1976

Contact

St Louis, MO 63116
Missouri County