PRABHAS TUNGSANGIUMVISAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051055

License Status

NOT RENEWED

Business

First Name

PRABHAS

Last Name

TUNGSANGIUMVISAI

Suffix

Business Name

PRABHAS TUNGSANGIUMVISAI MD

Original Issue Date

05/22/1975

Effective Date

05/22/1975

Expiration Date

07/31/1984

City

SACRAMENTO

State

Zip

95816

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006