HAYMARATNA CHOWANADISAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

CANCELLED

Business

First Name

HAYMARATNA

Last Name

CHOWANADISAI

Suffix

Business Name

HAYMARATNA CHOWANADISAI MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006