Thavisak Phuriphan Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036054632

Status

Expired (Not Renewed)

First issued

May 13, 1977

License holder

Thavisak Phuriphan Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

05/13/1977

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