License Directory

Supachai Tanomsup Md

Expired

Illinois license 036060985

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036060985
Status
Expired (Not Renewed)
First issued
September 11, 1980
Expired
July 1, 1982
License holder
Supachai Tanomsup Md
Entity type
Individual

Classifications

More from the license record

Current term began
09/11/1980

Other Illinois licenses under this name

  • IL
    Supachai Tanomsup Md
    License 33*****57
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Oak Lawn, IL
    Expired Sep 1, 1982

Contact

Alsip, IL 60658
Cook County