TANATIP P KORTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

TANATIP

Middle

Last Name

KORTE

Suffix

Business Name

TANATIP P KORTE MD

Original Issue Date

06/12/2002

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023