PAYUP THAJCHAYAPONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056778

License Status

NOT RENEWED

Business

First Name

PAYUP

Last Name

THAJCHAYAPONG

Suffix

Business Name

PAYUP THAJCHAYAPONG MD

Original Issue Date

05/19/1978

Effective Date

05/19/1978

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/20/2006