TEERATH PETER TANPITUKPONGSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137354

License Status

INACTIVE

Business

Title

First Name

TEERATH

Middle

PETER

Last Name

TANPITUKPONGSE

Business Name

TEERATH PETER TANPITUKPONGSE MD

Original Issue Date

02/19/2015

Effective Date

02/19/2015

Expiration Date

07/31/2017

City

RALEIGH

State

Zip

27606

Ever Disciplined

LastModifiedDate

10/09/2016