PHAIBUL PUNYARIT 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

PHAIBUL

Last Name

PUNYARIT

Business Name

PHAIBUL PUNYARIT

Original Issue Date

06/04/1991

Effective Date

06/04/1991

Expiration Date

07/31/1993

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006