PHILLIP THAMRONG SUWAN MD
Temporary Medical Permit
Illinois 125055461 Canceled
This Illinois license was held by PHILLIP THAMRONG SUWAN MD. The license is no longer active. It was granted on 06/27/2008 and expired on 06/26/2013
LICENSE DETAILS
- License Number: 125055461
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 06/27/2008 (almost 16 years ago)
- Expiry Date: 06/26/2013 (almost 11 years ago)
LOCATIONS
A Address
Augusta, GA 30907