VANEE WONGSURAWAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

VANEE

Last Name

WONGSURAWAT

Suffix

Business Name

VANEE WONGSURAWAT MD

Original Issue Date

01/01/1997

Effective Date

12/28/2010

Expiration Date

07/31/2011

City

SAINT LOUIS

State

Zip

63122

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011