SALA CHANPONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057351

License Status

NOT RENEWED

Business

First Name

SALA

Last Name

CHANPONG

Suffix

Business Name

SALA CHANPONG MD

Original Issue Date

08/10/1978

Effective Date

08/10/1978

Expiration Date

07/31/1993

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1990001673

Action

Revocation

Discipline Start Date

03/19/1992

Discipline Reason

Convicted of felony relating to controlled substances. Allegedly distributing and dispensing controlled substances for nontherapeutic purposes.