SAKUL JATCHAVALA PIYAKA 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

SAKUL JATCHAVALA

Last Name

PIYAKA

Suffix

Business Name

SAKUL JATCHAVALA PIYAKA MD

Original Issue Date

01/01/1997

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014