SOPHON PHANI CHAPHANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044154

License Status

NOT RENEWED

Business

First Name

SOPHON PHANI

Last Name

CHAPHANT

Suffix

Business Name

SOPHON PHANI CHAPHANT MD

Original Issue Date

01/01/1997

City

ST LOUIS

State

Zip

63125

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006