CHANANNAIT PAISANSATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

CHANANNAIT

Last Name

PAISANSATHAN

Suffix

Business Name

CHANANNAIT PAISANSATHAN MD

Original Issue Date

09/15/2014

Effective Date

09/15/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020