PHILLIP THAMRONG SUWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

PHILLIP

Middle

THAMRONG

Last Name

SUWAN

Business Name

PHILLIP THAMRONG SUWAN MD

Original Issue Date

09/11/2012

Effective Date

09/11/2012

Expiration Date

07/31/2014

City

AUGUSTA

State

Zip

30907

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017