THIEN THITIVARANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048879

License Status

NOT RENEWED

Business

First Name

THIEN

Last Name

THITIVARANA

Suffix

Business Name

THIEN THITIVARANA MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

LUBBOCK

State

Zip

79423

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006