NOWARAT SONGSIRIDEJ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

NOWARAT

Last Name

SONGSIRIDEJ

Suffix

Business Name

NOWARAT SONGSIRIDEJ MD

Original Issue Date

04/18/1986

Effective Date

04/18/1986

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006