THASARAT S VAJARANANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

THASARAT

Middle

Last Name

VAJARANANT

Suffix

Business Name

THASARAT S VAJARANANT MD

Original Issue Date

05/08/2006

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023