SUCHAT PONGLORPISITA 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

SUCHAT

Last Name

PONGLORPISITA

Suffix

Business Name

SUCHAT PONGLORPISITA MD

Original Issue Date

01/01/1997

Effective Date

06/13/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/01/2017