POONPUTT CHOTIPRASIDHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

POONPUTT

Last Name

CHOTIPRASIDHI

Suffix

Business Name

POONPUTT CHOTIPRASIDHI MD

Original Issue Date

07/20/2000

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023