LE P THAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

LE P

Last Name

THAI

Suffix

Business Name

LE P THAI MD

Original Issue Date

06/22/1983

Effective Date

06/22/1983

Expiration Date

07/31/1987

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006