UTCHARIYA ANANTAMONGKOL 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

UTCHARIYA

Last Name

ANANTAMONGKOL

Business Name

UTCHARIYA ANANTAMONGKOL MD

Original Issue Date

09/02/2025

Effective Date

09/02/2025

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2025