PAKORN SIRIJINTAKARN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

PAKORN

Last Name

SIRIJINTAKARN

Suffix

Business Name

PAKORN SIRIJINTAKARN MD

Original Issue Date

06/10/2005

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021