SONGYOTH SAKDISRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

SONGYOTH

Last Name

SAKDISRI

Suffix

Business Name

SONGYOTH SAKDISRI MD

Original Issue Date

06/22/1990

Effective Date

06/22/1990

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/12/2017