NIBONTH VIRAVANTHANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048897

License Status

NOT RENEWED

Business

First Name

NIBONTH

Last Name

VIRAVANTHANA

Suffix

Business Name

NIBONTH VIRAVANTHANA MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

SILVER SPRING

State

Zip

20901

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006