PRADIT DONCHUANCHOM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044398

License Status

INACTIVE

Business

First Name

PRADIT

Last Name

DONCHUANCHOM

Suffix

Business Name

PRADIT DONCHUANCHOM MD

Original Issue Date

07/09/1971

Effective Date

07/09/1971

Expiration Date

07/31/1987

City

BURBANK

State

Zip

91502

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006