PRAMOTE ANANTACHAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

PRAMOTE

Last Name

ANANTACHAI

Suffix

Business Name

PRAMOTE ANANTACHAI MD

Original Issue Date

01/01/1997

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021