TIRDKIAT SOMBUN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057356

License Status

INACTIVE

Business

First Name

TIRDKIAT

Last Name

SOMBUN

Suffix

Business Name

TIRDKIAT SOMBUN MD

Original Issue Date

08/10/1978

Effective Date

05/13/2011

Expiration Date

07/31/2014

City

MARION

State

Zip

46952

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014