SITTICHAI VONGSNICHAKUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

SITTICHAI

Last Name

VONGSNICHAKUL

Suffix

Business Name

SITTICHAI VONGSNICHAKUL MD

Original Issue Date

08/25/1982

Effective Date

08/25/1982

Expiration Date

07/31/1984

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006