SARAYUT SUPAPANNACHART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

SARAYUT

Last Name

SUPAPANNACHART

Suffix

Business Name

SARAYUT SUPAPANNACHART MD

Original Issue Date

09/29/1988

Effective Date

09/29/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006