SUWON VICKIE NOPACHAI 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

Title

First Name

SUWON

Middle

VICKIE

Last Name

NOPACHAI

Business Name

SUWON VICKIE NOPACHAI MD

Original Issue Date

04/17/2012

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023