SOMPORN PUANGSUVAN MD - Medical Doctor License in Missouri | # 036048049

SOMPORN PUANGSUVAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048049

License Status

NOT RENEWED

Business

N

First Name

SOMPORN

Last Name

PUANGSUVAN

Suffix

MD

Business Name

SOMPORN PUANGSUVAN MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

City

CARUTHERSVILLE

State

MO

Zip

63830

County

MISSOURI

Ever Disciplined

N

LastModifiedDate

09/20/2006