Surasak Phuphanich Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

33*****93

Status

Expired (Not Renewed)

First issued

January 1, 1997

Expired

September 1, 1982

License holder

Surasak Phuphanich Md

Entity type

Individual

Classifications

• Licensed Physician Controlled Substance (Medical Board) Physicians & Surgeons

More from the license record

Controlled substance schedules

II III IV V

Other Illinois licenses under this name

• IL
  Surasak Phuphanich Md

  License 036058266

  Licensed Physician and Surgeon (Medical Board)
  Expired

  San Bruno, CA

  Expired Jul 31, 1984

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