UDOM SANTATIVONGCHAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055672

License Status

NOT RENEWED

Business

First Name

UDOM

Last Name

SANTATIVONGCHAI

Suffix

Business Name

UDOM SANTATIVONGCHAI MD

Original Issue Date

09/23/1977

Effective Date

09/23/1977

City

CAMARILLO

State

Zip

93010

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006