PRASOP RATTANANONT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057856

License Status

NOT RENEWED

Business

First Name

PRASOP

Last Name

RATTANANONT

Suffix

Business Name

PRASOP RATTANANONT MD

Original Issue Date

10/12/1978

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

FAIRVIEWHEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/01/2017