SIRIPORN KULKAMTHORN MD - Medical Doctor License in Missouri | # 33*****52

SIRIPORN KULKAMTHORN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

N

Title

MD

First Name

SIRIPORN

Last Name

KULKAMTHORN

Business Name

SIRIPORN KULKAMTHORN MD

Original Issue Date

08/26/2011

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CREVE COEUR

State

MO

Zip

63141

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/01/2017