BANPOTE POOSUTHASEE MD - Medical Doctor License in Indiana | # 036059237

BANPOTE POOSUTHASEE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059237

License Status

INACTIVE

Business

N

First Name

BANPOTE

Last Name

POOSUTHASEE

Suffix

MD

Business Name

BANPOTE POOSUTHASEE MD

Original Issue Date

08/20/1979

Effective Date

08/20/1979

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006