PONGSAK TANAREE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052431

License Status

INACTIVE

Business

First Name

PONGSAK

Last Name

TANAREE

Suffix

Business Name

PONGSAK TANAREE MD

Original Issue Date

03/11/1976

Effective Date

03/11/1976

Expiration Date

07/31/1987

City

MONTEREY PARK

State

Zip

91754

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006