WORALAK KALYAWONGSA MD - Medical Doctor License in Indiana | # 036049538

WORALAK KALYAWONGSA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049538

License Status

INACTIVE

Business

N

First Name

WORALAK

Last Name

KALYAWONGSA

Suffix

MD

Business Name

WORALAK KALYAWONGSA MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006