License Directory

Thavisakdi Kovithavongs Md

Inactive

Illinois license 036054236

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036054236
Status
Inactive
First issued
March 11, 1977
Expired
July 31, 1987
License holder
Thavisakdi Kovithavongs Md
Entity type
Individual

Classifications

More from the license record

Current term began
03/11/1977

Contact

Canada