PAYIA CHANTADISAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050543

License Status

NOT RENEWED

Business

First Name

PAYIA

Last Name

CHANTADISAI

Suffix

Business Name

PAYIA CHANTADISAI MD

Original Issue Date

02/25/1975

Effective Date

02/25/1975

City

LOS ANGELES

State

Zip

90017

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006