CHUTIMA PHONGPHUA DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008196

License Status

NOT RENEWED

Business

First Name

CHUTIMA

Last Name

PHONGPHUA

Suffix

Business Name

CHUTIMA PHONGPHUA DC

Original Issue Date

04/21/1997

Effective Date

04/21/1997

Expiration Date

07/31/1999

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

09/21/2006