PIYANUCH PAHN PATARAMEKIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

PIYANUCH

Middle

PAHN

Last Name

PATARAMEKIN

Business Name

PIYANUCH PAHN PATARAMEKIN DO

Original Issue Date

06/12/2018

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023