SODSAI JAIWATANA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065997

License Status

INACTIVE

Business

First Name

SODSAI

Last Name

JAIWATANA

Suffix

Business Name

SODSAI JAIWATANA MD

Original Issue Date

01/28/1983

Effective Date

01/28/1983

Expiration Date

07/31/1987

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006