SOMSUPHA KANJANAUTHAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136174

License Status

NOT RENEWED

Business

Title

First Name

SOMSUPHA

Last Name

KANJANAUTHAI

Business Name

SOMSUPHA KANJANAUTHAI MD

Original Issue Date

08/07/2014

Effective Date

08/07/2014

Expiration Date

07/31/2017

City

GLENDALE

State

Zip

91204

Ever Disciplined

LastModifiedDate

11/01/2017