PHANOMKIATE CHARUWORN MD - Medical Doctor License in Texas | # 036047811

PHANOMKIATE CHARUWORN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047811

License Status

INACTIVE

Business

N

First Name

PHANOMKIATE

Last Name

CHARUWORN

Suffix

MD

Business Name

PHANOMKIATE CHARUWORN MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

State

TX

Ever Disciplined

N

LastModifiedDate

09/20/2006