THAN THAN AYE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161257

License Status

ACTIVE

Business

Title

First Name

THAN

Middle

THAN

Last Name

AYE

Business Name

THAN THAN AYE MD

Original Issue Date

07/08/2022

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

RAPID CITY

State

Zip

57701

Ever Disciplined

LastModifiedDate

06/14/2023