SURACHAI AMORNSAWADWATTANA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154519

License Status

ACTIVE

Business

Title

First Name

SURACHAI

Last Name

AMORNSAWADWATTANA

Business Name

SURACHAI AMORNSAWADWATTANA MD

Original Issue Date

10/15/2020

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63112

Ever Disciplined

LastModifiedDate

07/27/2023