MANOP PITHUKPAKORN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

MANOP

Last Name

PITHUKPAKORN

Business Name

MANOP PITHUKPAKORN

Original Issue Date

07/12/2002

Effective Date

07/12/2002

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008