SONGYOTH SAKDISRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

SONGYOTH

Last Name

SAKDISRI

Suffix

Business Name

SONGYOTH SAKDISRI MD

Original Issue Date

06/23/2006

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017