PANTILA VANICHAKARN BATEMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161785

License Status

ACTIVE

Business

Title

First Name

PANTILA

Middle

VANICHAKARN

Last Name

BATEMAN

Business Name

PANTILA VANICHAKARN BATEMAN MD

Original Issue Date

08/02/2022

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CARMEL

State

Zip

46074

Ever Disciplined

LastModifiedDate

06/09/2023