VINCE VISITH SOUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133538

License Status

NOT RENEWED

Business

Title

First Name

VINCE

Middle

VISITH

Last Name

SOUN

Business Name

VINCE VISITH SOUN MD

Original Issue Date

07/16/2013

Effective Date

07/16/2013

Expiration Date

07/31/2014

City

EL CENTRO

State

Zip

92243

Ever Disciplined

LastModifiedDate

11/17/2014