WUTHISAK SOONATTRAKUL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045428

License Status

INACTIVE

Business

First Name

WUTHISAK

Last Name

SOONATTRAKUL

Suffix

Business Name

WUTHISAK SOONATTRAKUL MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1987

City

KENNETT

State

Zip

63857

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006