NORRAPOL WATTANASUWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

NORRAPOL

Last Name

WATTANASUWAN

Suffix

Business Name

NORRAPOL WATTANASUWAN MD

Original Issue Date

08/10/2000

Effective Date

08/10/2000

Expiration Date

07/31/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017