PED BUNSONGSIKUL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100596

License Status

INACTIVE

Business

First Name

PED

Last Name

BUNSONGSIKUL

Business Name

PED BUNSONGSIKUL

Original Issue Date

07/09/1999

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WEST COVINA

State

Zip

91790

Ever Disciplined

LastModifiedDate

07/02/2008