KONGIET THAERA - Medical Doctor License in Indiana | # 036059265

KONGIET THAERA

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059265

License Status

INACTIVE

Business

N

First Name

KONGIET

Last Name

THAERA

Business Name

KONGIET THAERA

Original Issue Date

08/27/1979

Effective Date

08/27/1979

Expiration Date

07/31/1993

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006