BOONLUA LUCKTONG MD - Medical Doctor License in Tennessee | # 036048764

BOONLUA LUCKTONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048764

License Status

NOT RENEWED

Business

N

First Name

BOONLUA

Last Name

LUCKTONG

Suffix

MD

Business Name

BOONLUA LUCKTONG MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

Expiration Date

07/31/1984

State

TN

Ever Disciplined

N

LastModifiedDate

09/20/2006