SOMNUK SRIVISAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049371

License Status

NOT RENEWED

Business

First Name

SOMNUK

Last Name

SRIVISAL

Suffix

Business Name

SOMNUK SRIVISAL MD

Original Issue Date

07/03/1974

Effective Date

07/03/1974

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006