VANEE WONGSURAWAT MD - Medical Doctor License in Missouri | # 036048162

VANEE WONGSURAWAT MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048162

License Status

INACTIVE

Business

N

First Name

VANEE

Last Name

WONGSURAWAT

Suffix

MD

Business Name

VANEE WONGSURAWAT MD

Original Issue Date

08/23/1973

Effective Date

04/13/2011

Expiration Date

07/31/2014

State

MO

Ever Disciplined

N

LastModifiedDate

04/08/2014