NARONGSAK GUEVARA BOONSWANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

Title

First Name

NARONGSAK

Middle

GUEVARA

Last Name

BOONSWANG

Business Name

NARONGSAK GUEVARA BOONSWANG MD

Original Issue Date

09/13/2017

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

PALM BEACH GARDENS

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023