ROY MONGKOLPRADIT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108126

License Status

NOT RENEWED

Business

First Name

ROY

Last Name

MONGKOLPRADIT

Suffix

Business Name

ROY MONGKOLPRADIT MD

Original Issue Date

11/07/2002

Effective Date

11/07/2002

Expiration Date

07/31/2005

City

GROSSE ILE

State

Zip

48138

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006