UDOM SUVANSRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051560

License Status

NOT RENEWED

Business

First Name

UDOM

Last Name

SUVANSRI

Suffix

Business Name

UDOM SUVANSRI MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

City

WILLINGBORO

State

Zip

08046

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006