BENJARAT CHANGYALEKET MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

BENJARAT

Last Name

CHANGYALEKET

Suffix

Business Name

BENJARAT CHANGYALEKET MD

Original Issue Date

04/20/2009

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023