KESSARIN PANICHPISAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

KESSARIN

Last Name

PANICHPISAL

Business Name

KESSARIN PANICHPISAL MD

Original Issue Date

08/22/2022

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60005

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023