SOMPONG DAENGSURISRI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048680

License Status

INACTIVE

Business

First Name

SOMPONG

Last Name

DAENGSURISRI

Suffix

Business Name

SOMPONG DAENGSURISRI MD

Original Issue Date

02/05/1974

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

07/29/2008