AMORN SALYAPONGSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

AMORN

Last Name

SALYAPONGSE

Suffix

Business Name

AMORN SALYAPONGSE MD

Original Issue Date

01/01/1997

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017