ARBHA VONGSVIVUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

ARBHA

Last Name

VONGSVIVUT

Business Name

ARBHA VONGSVIVUT MD

Original Issue Date

08/11/1981

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020

Case Number

2007001613

Action

Suspension

Discipline Start Date

08/17/2009

Discipline Reason

for violation of Medical Practice Act related to issuance of prescriptions for Controlled Substances to two patients of his practice.