PICHAPA SANGSAWAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083490

License Status

ACTIVE

Business

Title

First Name

PICHAPA

Last Name

SANGSAWAD

Business Name

PICHAPA SANGSAWAD MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/06/2024