AMORN SALYAPONGSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046586

License Status

NOT RENEWED

Business

First Name

AMORN

Last Name

SALYAPONGSE

Suffix

Business Name

AMORN SALYAPONGSE MD

Original Issue Date

10/19/1972

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/01/2017