SODSAI JAIWATANA MD - Medical Doctor License in Indiana | # 036065997

SODSAI JAIWATANA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065997

License Status

INACTIVE

Business

N

First Name

SODSAI

Last Name

JAIWATANA

Suffix

MD

Business Name

SODSAI JAIWATANA MD

Original Issue Date

01/28/1983

Effective Date

01/28/1983

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006