PRACHA NOPACHAI MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042001963

License Status

NOT RENEWED

Business

Business Name

PRACHA NOPACHAI MD SC

Original Issue Date

11/29/1973

Effective Date

11/29/1973

Expiration Date

01/01/1998

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/26/2006