APICHARTI VAJRABUKKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

APICHARTI

Last Name

VAJRABUKKA

Suffix

Business Name

APICHARTI VAJRABUKKA MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006