TANEENOP ARAMPHONGPHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

Title

DMD

First Name

TANEENOP

Last Name

ARAMPHONGPHAN

Business Name

TANEENOP ARAMPHONGPHAN DMD

Original Issue Date

10/07/2025

Effective Date

10/07/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2025