PHILLIP THAMRONG SUWAN MD - Medical Doctor License in Georgia | # 036131352

PHILLIP THAMRONG SUWAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131352

License Status

INACTIVE

Business

N

Title

MD

First Name

PHILLIP

Middle

THAMRONG

Last Name

SUWAN

Business Name

PHILLIP THAMRONG SUWAN MD

Original Issue Date

09/11/2012

Effective Date

04/16/2014

Expiration Date

07/31/2017

State

GA

Ever Disciplined

N

LastModifiedDate

04/11/2017