THAN WIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089322

License Status

NOT RENEWED

Business

First Name

THAN

Last Name

WIN

Business Name

THAN WIN

Original Issue Date

08/03/1994

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

LINCOLN

State

Zip

02865

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

11/01/2017