WATANACHAI SUJATANOND MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046357

License Status

INACTIVE

Business

First Name

WATANACHAI

Last Name

SUJATANOND

Suffix

Business Name

WATANACHAI SUJATANOND MD

Original Issue Date

08/17/1972

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/17/2008