SUARTCHA PRUEKSARITANOND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

SUARTCHA

Last Name

PRUEKSARITANOND

Business Name

SUARTCHA PRUEKSARITANOND MD

Original Issue Date

10/17/2013

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

SEATTLE

State

Zip

98121

County

FAYETTE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023