SOMPONG DAENGSURISRI 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

SOMPONG

Last Name

DAENGSURISRI

Suffix

Business Name

SOMPONG DAENGSURISRI MD

Original Issue Date

09/28/1987

Effective Date

09/28/1987

Expiration Date

07/31/1993

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006