VANEE WONGSURAWAT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048162

License Status

INACTIVE

Business

First Name

VANEE

Last Name

WONGSURAWAT

Suffix

Business Name

VANEE WONGSURAWAT MD

Original Issue Date

08/23/1973

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014