NUNTIDA SURACHAICHARN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

NUNTIDA

Last Name

SURACHAICHARN

Business Name

NUNTIDA SURACHAICHARN DO

Original Issue Date

06/08/2023

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2025