RONALD KAMPANATKOSOL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

RONALD

Last Name

KAMPANATKOSOL

Suffix

Business Name

RONALD KAMPANATKOSOL DO

Original Issue Date

01/19/2011

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023