RAPEEPAN SANGTHONGTONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

RAPEEPAN

Last Name

SANGTHONGTONG

Suffix

Business Name

RAPEEPAN SANGTHONGTONG MD

Original Issue Date

01/01/1997

Effective Date

05/17/2017

Expiration Date

09/30/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021