URAIWAN T HOMPLUEM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067508

License Status

NOT RENEWED

Business

First Name

URAIWAN

Middle

Last Name

HOMPLUEM

Suffix

Business Name

URAIWAN T HOMPLUEM MD

Original Issue Date

08/31/1983

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021