ATISAK SAPYING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079150

License Status

ACTIVE

Business

First Name

ATISAK

Last Name

SAPYING

Suffix

Business Name

ATISAK SAPYING MD

Original Issue Date

07/15/1989

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

06/06/2023