SANTI RUKVIDTAYASAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

SANTI

Last Name

RUKVIDTAYASAS

Suffix

Business Name

SANTI RUKVIDTAYASAS MD

Original Issue Date

01/01/1997

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023