MEECHAI PUNTUMABUMRUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045327

License Status

NOT RENEWED

Business

First Name

MEECHAI

Last Name

PUNTUMABUMRUNG

Suffix

Business Name

MEECHAI PUNTUMABUMRUNG MD

Original Issue Date

02/04/1972

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/01/2017