SONGYOTH SAKDISRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

SONGYOTH

Last Name

SAKDISRI

Suffix

Business Name

SONGYOTH SAKDISRI MD

Original Issue Date

08/17/1993

Effective Date

08/17/1993

Expiration Date

07/31/1996

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017