DHANASARN MONGKOLSMAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059806

License Status

ACTIVE

Business

First Name

DHANASARN

Last Name

MONGKOLSMAI

Suffix

Business Name

DHANASARN MONGKOLSMAI MD

Original Issue Date

12/12/1979

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/21/2023