SALA CHANPONG MD - Medical Doctor License in Illinois | # 036057351

SALA CHANPONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057351

License Status

NOT RENEWED

Business

N

First Name

SALA

Last Name

CHANPONG

Suffix

MD

Business Name

SALA CHANPONG MD

Original Issue Date

08/10/1978

Effective Date

08/10/1978

Expiration Date

07/31/1993

State

IL

Ever Disciplined

Y

LastModifiedDate

09/20/2006

Case Number

1990001673

Action

Suspension

Discipline Start Date

03/18/1991

Discipline End Date

03/19/1992

Discipline Reason

Convicted of felony charge of unlawful delivery of a controlled substance.