CHAIRAT LUANGSUWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

CHAIRAT

Last Name

LUANGSUWAN

Suffix

Business Name

CHAIRAT LUANGSUWAN MD

Original Issue Date

02/04/1985

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017