HEMALUCK R SUWATANAPONGCHED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

HEMALUCK

Middle

Last Name

SUWATANAPONGCHED

Business Name

HEMALUCK R SUWATANAPONGCHED MD

Original Issue Date

07/15/2015

Effective Date

07/15/2015

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020