KRAISORN PUNJASTHITKUL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048406

License Status

NOT RENEWED

Business

First Name

KRAISORN

Last Name

PUNJASTHITKUL

Suffix

Business Name

KRAISORN PUNJASTHITKUL MD

Original Issue Date

10/06/1973

Effective Date

10/06/1973

Expiration Date

07/31/2002

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006