PANIDA PIBOOLNURAK - Medical Doctor License in New York | # 036105432

PANIDA PIBOOLNURAK

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105432

License Status

INACTIVE

Business

N

First Name

PANIDA

Last Name

PIBOOLNURAK

Business Name

PANIDA PIBOOLNURAK

Original Issue Date

08/16/2001

Effective Date

08/16/2001

Expiration Date

07/31/2005

State

NY

Ever Disciplined

N

LastModifiedDate

10/26/2010