SRIRAT TEMIYASATHIT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054485

License Status

INACTIVE

Business

First Name

SRIRAT

Last Name

TEMIYASATHIT

Suffix

Business Name

SRIRAT TEMIYASATHIT MD

Original Issue Date

04/14/1977

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/12/2017