PRACHAK T SIRIPRAKORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

PRACHAK T

Last Name

SIRIPRAKORN

Suffix

Business Name

PRACHAK T SIRIPRAKORN MD

Original Issue Date

04/23/1984

Effective Date

04/23/1984

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006