JATUPOL KOSITSAWAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111924

License Status

NOT RENEWED

Business

First Name

JATUPOL

Last Name

KOSITSAWAT

Suffix

Business Name

JATUPOL KOSITSAWAT MD

Original Issue Date

07/22/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BRANDON

State

Zip

39047

Ever Disciplined

LastModifiedDate

08/11/2010