THAVIJ BURAPAVONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047794

License Status

NOT RENEWED

Business

First Name

THAVIJ

Last Name

BURAPAVONG

Suffix

Business Name

THAVIJ BURAPAVONG MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

City

HIGH POINT

State

Zip

27262

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006