License Directory

Aphornpirom Ketupanya Md

Expired

Illinois license 036052419

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036052419
Status
Expired (Not Renewed)
First issued
March 11, 1970
License holder
Aphornpirom Ketupanya Md
Entity type
Individual

Classifications

More from the license record

Current term began
03/11/1970

Contact

Carterville, IL 62918
Williamson County