TANUSIN PLOYSANGAM - Medical Doctor License in Iowa | # 036089780

TANUSIN PLOYSANGAM

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089780

License Status

INACTIVE

Business

N

First Name

TANUSIN

Last Name

PLOYSANGAM

Business Name

TANUSIN PLOYSANGAM

Original Issue Date

10/07/1994

Effective Date

10/07/1994

Expiration Date

07/31/1996

State

IA

Ever Disciplined

N

LastModifiedDate

02/15/2007