NIRANDON WONGSURAWAT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047361

License Status

INACTIVE

Business

First Name

NIRANDON

Last Name

WONGSURAWAT

Suffix

Business Name

NIRANDON WONGSURAWAT MD

Original Issue Date

04/23/1973

Effective Date

04/23/1973

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006