CHALONGCHAI PHITSANUWONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

CHALONGCHAI

Last Name

PHITSANUWONG

Business Name

CHALONGCHAI PHITSANUWONG MD

Original Issue Date

04/28/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023