KANYA VANADURONGVAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055444

License Status

NOT RENEWED

Business

First Name

KANYA

Last Name

VANADURONGVAN

Business Name

KANYA VANADURONGVAN

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1987

City

LAKE PRESTON

State

Zip

57249

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

09/20/2006