THAN WIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

THAN

Last Name

WIN

Business Name

THAN WIN

Original Issue Date

10/26/1995

Effective Date

09/02/2014

Expiration Date

07/31/2017

City

LINCOLN

State

Zip

02865

County

RHODE ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017