PHORNLARP MEKRAKSAKIT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035452

License Status

ACTIVE

Business

First Name

PHORNLARP

Last Name

MEKRAKSAKIT

Business Name

PHORNLARP MEKRAKSAKIT

Original Issue Date

08/09/2024

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

MINNEAPOLIS

State

Zip

55403

Ever Disciplined

LastModifiedDate

08/28/2024