APHORNPIROM KETUPANYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052419

License Status

NOT RENEWED

Business

First Name

APHORNPIROM

Last Name

KETUPANYA

Suffix

Business Name

APHORNPIROM KETUPANYA MD

Original Issue Date

03/11/1970

Effective Date

03/11/1970

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/20/2006