TIRDKIAT SOMBUN MD - Medical Doctor License in Indiana | # 036057356

TIRDKIAT SOMBUN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057356

License Status

INACTIVE

Business

N

First Name

TIRDKIAT

Last Name

SOMBUN

Suffix

MD

Business Name

TIRDKIAT SOMBUN MD

Original Issue Date

08/10/1978

Effective Date

05/13/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

04/08/2014