ATISAK SAPYING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

ATISAK

Last Name

SAPYING

Suffix

Business Name

ATISAK SAPYING MD

Original Issue Date

08/31/1989

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023