SIRISAK SUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048367

License Status

NOT RENEWED

Business

First Name

SIRISAK

Last Name

SUN

Suffix

Business Name

SIRISAK SUN MD

Original Issue Date

09/19/1973

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1991003273

Action

Probation

Discipline Start Date

07/24/1992

Discipline End Date

07/24/1993

Discipline Reason

Ordering inappropriate medication and falsifying records.