Kongiet Thaera
InactiveIllinois license 036059265
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036059265
- Status
- Inactive
- First issued
- August 27, 1979
- Expired
- July 31, 1993
- License holder
- Kongiet Thaera
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 08/27/1979
Contact
Dyer, IN 46311
Indiana County