MICHAEL NITHIPHAISAL YU DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172521

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

NITHIPHAISAL

Last Name

Business Name

MICHAEL NITHIPHAISAL YU DO

Original Issue Date

10/28/2024

Effective Date

10/28/2024

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/28/2024