THANIT HASADSRI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

INACTIVE

Business

First Name

THANIT

Last Name

HASADSRI

Suffix

Business Name

THANIT HASADSRI MD

Original Issue Date

08/28/1981

Effective Date

08/28/1981

Expiration Date

09/01/1982

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006