Buppha Phaosawasdi Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036058605

Status

Inactive

First issued

April 19, 1979

Expired

July 31, 1990

License holder

Buppha Phaosawasdi Md

Entity type

Individual

Classifications

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

More from the license record

Current term began

04/19/1979

Other Illinois licenses under this name

• IL
  Buppha Phaosawasdi Md

  License 33*****05

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Bloomington, IL

  Expired Jul 31, 1990

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