JATUPOL KOSITSAWAT 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

JATUPOL

Last Name

KOSITSAWAT

Suffix

Business Name

JATUPOL KOSITSAWAT MD

Original Issue Date

09/16/2005

Effective Date

09/16/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008