ROMSAI TONY BOONYASAI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110151

License Status

INACTIVE

Business

First Name

ROMSAI

Middle

TONY

Last Name

BOONYASAI

Suffix

Business Name

ROMSAI TONY BOONYASAI MD

Original Issue Date

09/22/2003

Effective Date

09/22/2003

Expiration Date

07/31/2005

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006