NIRANDON WONGSURAWAT MD - Medical Doctor License in Missouri | # 036047361

NIRANDON WONGSURAWAT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047361

License Status

INACTIVE

Business

N

First Name

NIRANDON

Last Name

WONGSURAWAT

Suffix

MD

Business Name

NIRANDON WONGSURAWAT MD

Original Issue Date

04/23/1973

Effective Date

04/23/1973

Expiration Date

07/31/1993

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006