VIRAT KLUNGBOONKRONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

VIRAT

Last Name

KLUNGBOONKRONG

Suffix

Business Name

VIRAT KLUNGBOONKRONG MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006