PRAMOTE ANANTACHAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050261

License Status

ACTIVE

Business

First Name

PRAMOTE

Last Name

ANANTACHAI

Suffix

Business Name

PRAMOTE ANANTACHAI MD

Original Issue Date

11/26/1974

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/24/2023