KANCHANA ESARIYA UMPAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

KANCHANA

Last Name

ESARIYA UMPAI

Suffix

Business Name

KANCHANA ESARIYA UMPAI MD

Original Issue Date

01/01/1997

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021