KAMOLTIPYA KUNNAWUTHIDEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054654

License Status

NOT RENEWED

Business

First Name

KAMOLTIPYA

Last Name

KUNNAWUTHIDEE

Suffix

Business Name

KAMOLTIPYA KUNNAWUTHIDEE MD

Original Issue Date

06/09/1977

Effective Date

06/09/1977

City

DODGE CITY

State

Zip

67801

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006