NATSUMON UDOMKITTIVORAKUL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

NATSUMON

Last Name

UDOMKITTIVORAKUL

Business Name

NATSUMON UDOMKITTIVORAKUL MD

Original Issue Date

04/27/2024

Effective Date

04/27/2024

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026