MENA M LUANGJAMEKORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125173

License Status

NOT RENEWED

Business

First Name

MENA

Middle

Last Name

LUANGJAMEKORN

Suffix

Business Name

MENA M LUANGJAMEKORN MD

Original Issue Date

03/12/2010

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021