TANEENOP ARAMPHONGPHAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

Title

DMD

First Name

TANEENOP

Last Name

ARAMPHONGPHAN

Business Name

TANEENOP ARAMPHONGPHAN DMD

Original Issue Date

07/17/2015

Effective Date

06/21/2018

Expiration Date

01/31/2022

City

SOUTH ORANGE

State

Zip

07079

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022