POONSUK SUVEERANONT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049700

License Status

NOT RENEWED

Business

First Name

POONSUK

Last Name

SUVEERANONT

Suffix

Business Name

POONSUK SUVEERANONT MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

City

MONTCLAIR

State

Zip

07042

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006