PANIDA PIBOOLNURAK Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105432

License Status

INACTIVE

Business

First Name

PANIDA

Last Name

PIBOOLNURAK

Business Name

PANIDA PIBOOLNURAK

Original Issue Date

08/16/2001

Effective Date

08/16/2001

Expiration Date

07/31/2005

City

NEW YORK

State

Zip

10044

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/26/2010