PRASAN CHARIYASHOTILERT MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003656

License Status

NOT RENEWED

Business

Business Name

PRASAN CHARIYASHOTILERT MD SC

Original Issue Date

06/29/1979

Effective Date

01/04/2019

Expiration Date

01/01/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/15/2023