DHARA PONGSIRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046282

License Status

NOT RENEWED

Business

First Name

DHARA

Last Name

PONGSIRI

Suffix

Business Name

DHARA PONGSIRI MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/1984

City

BALTIMORE

State

Zip

21228

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006