DEJA ANGSURAT MD
Licensed Physician Controlled Substance
Illinois 336012655 Canceled
This Illinois license was held by DEJA ANGSURAT MD. The license is no longer active. It was granted on 01/01/1997 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336012655
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Canceled
- Date Granted: 01/01/1997 (over 27 years ago)
- Expiry Date: 07/31/2005 (over 18 years ago)
LOCATIONS
A Address
DOWNERS GROVE, IL 60516