License Directory

Siriporn Kulkamthorn Md

Revoked or denied

Illinois license 036050302

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036050302
Status
Revoked or denied (Refuse To Renew)
First issued
November 26, 1974
Expired
July 31, 2017
License holder
Siriporn Kulkamthorn
Entity type
Individual

Classifications

More from the license record

Current term began
04/21/2014
Ever disciplined
Yes
Discipline case
2019000340
Discipline action
Refuse To Renew
Discipline reason
Physician and Surgeon License Placed in Refuse to Renew Status Due to Respondent's Failure to Prescribe Anticoagulation to A Patient.
Discipline dates
12/29/2021

Other Illinois licenses under this name

  • IL
    Siriporn Kulkamthorn Md
    License 33*****52 · Siriporn Kulkamthorn
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Creve Coeur, MO
    Expired Jul 31, 2017

Contact

Creve Coeur, MO 63141
Missouri County