THIENCHAI UDOMRATN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049723

License Status

NOT RENEWED

Business

First Name

THIENCHAI

Last Name

UDOMRATN

Suffix

Business Name

THIENCHAI UDOMRATN MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1987

City

FORT WORTH

State

Zip

76104

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006