CHANANNAIT PAISANSATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

CHANANNAIT

Last Name

PAISANSATHAN

Suffix

Business Name

CHANANNAIT PAISANSATHAN MD

Original Issue Date

02/05/2004

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023