ARKOM CHULAMORKODT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

ARKOM

Last Name

CHULAMORKODT

Suffix

Business Name

ARKOM CHULAMORKODT MD

Original Issue Date

06/28/1982

Effective Date

06/28/1982

Expiration Date

07/31/2008

City

VANDALIA

State

Zip

62471

County

FAYETTE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011