AMORN NEIL SALYAPONGSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

CANCELLED

Business

First Name

AMORN

Middle

NEIL

Last Name

SALYAPONGSE

Suffix

Business Name

AMORN NEIL SALYAPONGSE MD

Original Issue Date

09/09/2003

Effective Date

09/09/2003

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008