PAUL BOYD POOMMIPANIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

BOYD

Last Name

POOMMIPANIT

Business Name

PAUL BOYD POOMMIPANIT MD

Original Issue Date

08/03/2010

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014