PIYAPONG VONGKOVIT 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

PIYAPONG

Last Name

VONGKOVIT

Business Name

PIYAPONG VONGKOVIT

Original Issue Date

10/29/1991

Effective Date

10/29/1991

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006