PARPHAN FAWN SOONATTRAKUL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015941

License Status

ACTIVE

Business

First Name

PARPHAN

Middle

FAWN

Last Name

SOONATTRAKUL

Business Name

PARPHAN FAWN SOONATTRAKUL

Original Issue Date

08/07/2017

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/28/2024