PRICHA SATTAYATAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

PRICHA

Last Name

SATTAYATAM

Suffix

Business Name

PRICHA SATTAYATAM MD

Original Issue Date

01/01/1997

Effective Date

12/13/2016

Expiration Date

07/31/2017

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020