SAMPANTA BOONJARERN MD - Medical Doctor License in Indiana | # 036047641

SAMPANTA BOONJARERN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047641

License Status

INACTIVE

Business

N

First Name

SAMPANTA

Last Name

BOONJARERN

Suffix

MD

Business Name

SAMPANTA BOONJARERN MD

Original Issue Date

08/17/1973

Effective Date

08/17/1973

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006