AMPORN ATSAWARUNGRUANGKIT - Medical Doctor License in Rhode Island | # 130001405

AMPORN ATSAWARUNGRUANGKIT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001405

License Status

EXPIRED

Business

N

First Name

AMPORN

Last Name

ATSAWARUNGRUANGKIT

Business Name

AMPORN ATSAWARUNGRUANGKIT

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

07/31/2021

City

PROVIDENCE

State

RI

Zip

02903

Specialty/Qualifier

Gastroenterology

Ever Disciplined

N

LastModifiedDate

10/11/2022