RUNGSUN RERKNIMITR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

RUNGSUN

Last Name

RERKNIMITR

Business Name

RUNGSUN RERKNIMITR

Original Issue Date

03/28/1996

Effective Date

03/28/1996

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006