NARONGSAK KIATIKAJORNTHADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046961

License Status

NOT RENEWED

Business

First Name

NARONGSAK

Last Name

KIATIKAJORNTHADA

Suffix

Business Name

NARONGSAK KIATIKAJORNTHADA MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/01/1982

City

DODGE CITY

State

Zip

67801

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006