PRACHA NOPACHAI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044948

License Status

INACTIVE

Business

First Name

PRACHA

Last Name

NOPACHAI

Suffix

Business Name

PRACHA NOPACHAI MD

Original Issue Date

10/08/1971

Effective Date

10/08/1971

Expiration Date

07/31/2005

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/09/2006