DUSIT WANGKEO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

DUSIT

Last Name

WANGKEO

Suffix

Business Name

DUSIT WANGKEO MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

EAST PRINCETON

State

Zip

61356

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006