BHISIT BHOTHINARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049775

License Status

NOT RENEWED

Business

First Name

BHISIT

Last Name

BHOTHINARD

Suffix

Business Name

BHISIT BHOTHINARD MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1984

City

FARMINGTON

State

Zip

63640

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006