WOODY SOONATTRAKUL Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001598

License Status

EXPIRED

Business

First Name

WOODY

Last Name

SOONATTRAKUL

Business Name

WOODY SOONATTRAKUL

Original Issue Date

07/07/2006

Effective Date

07/07/2006

Expiration Date

06/30/2007

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

07/03/2007