PONGSAK TANAREE MD - Medical Doctor License in California | # 036052431

PONGSAK TANAREE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052431

License Status

INACTIVE

Business

N

First Name

PONGSAK

Last Name

TANAREE

Suffix

MD

Business Name

PONGSAK TANAREE MD

Original Issue Date

03/11/1976

Effective Date

03/11/1976

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006