MANU TONGWARIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

MANU

Last Name

TONGWARIN

Suffix

Business Name

MANU TONGWARIN MD

Original Issue Date

01/01/1997

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

DU QUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017