WALAILUK CHAIYARAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

WALAILUK

Last Name

CHAIYARAT

Suffix

Business Name

WALAILUK CHAIYARAT MD

Original Issue Date

07/23/2009

Effective Date

07/23/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011