SUWAN PHANIJPHAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050501

License Status

NOT RENEWED

Business

First Name

SUWAN

Last Name

PHANIJPHAND

Suffix

Business Name

SUWAN PHANIJPHAND MD

Original Issue Date

01/30/1975

Effective Date

01/30/1975

Expiration Date

07/31/1990

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006