POONPUTT CHOTIPRASIDHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103123

License Status

ACTIVE

Business

First Name

POONPUTT

Last Name

CHOTIPRASIDHI

Suffix

Business Name

POONPUTT CHOTIPRASIDHI MD

Original Issue Date

07/20/2000

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/09/2023