PITUD ALLAN RANGSITHIENCHAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

PITUD

Middle

ALLAN

Last Name

RANGSITHIENCHAI

Suffix

Business Name

PITUD ALLAN RANGSITHIENCHAI MD

Original Issue Date

03/12/2009

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023