PHILLIP THAMRONG SUWAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131352

License Status

INACTIVE

Business

Title

First Name

PHILLIP

Middle

THAMRONG

Last Name

SUWAN

Business Name

PHILLIP THAMRONG SUWAN MD

Original Issue Date

09/11/2012

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

AUGUSTA

State

Zip

30907

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/11/2017