BHIROM BURANAKUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

BHIROM

Last Name

BURANAKUL

Suffix

Business Name

BHIROM BURANAKUL MD

Original Issue Date

01/01/1997

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/08/2014