SOONTORN THRUPKAEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

SOONTORN

Last Name

THRUPKAEW

Suffix

Business Name

SOONTORN THRUPKAEW MD

Original Issue Date

07/23/2002

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014