KUNAKORN CHARMIN ATCHANEEYASAKUL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

Title

First Name

KUNAKORN

Middle

CHARMIN

Last Name

ATCHANEEYASAKUL

Business Name

KUNAKORN CHARMIN ATCHANEEYASAKUL MD

Original Issue Date

09/27/2024

Effective Date

09/27/2024

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024