ARKOM CHULAMORKODT 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

First Name

ARKOM

Last Name

CHULAMORKODT

Suffix

Business Name

ARKOM CHULAMORKODT MD

Original Issue Date

08/25/1987

Effective Date

08/25/1987

Expiration Date

07/31/1990

City

ST ELMO

State

Zip

62458

County

FAYETTE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011