SALA CHANPONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

SALA

Last Name

CHANPONG

Suffix

Business Name

SALA CHANPONG MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1990001673

Action

Revocation

Discipline Start Date

03/19/1992

Discipline Reason

Convicted of felony relating to controlled substances. Allegedly distributing and dispensing controlled substances for nontherapeutic purposes.