XAMNAN TULYASATHIEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045716

License Status

INACTIVE

Business

First Name

XAMNAN

Last Name

TULYASATHIEN

Suffix

Business Name

XAMNAN TULYASATHIEN MD

Original Issue Date

06/16/1972

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

REDMOND

State

Zip

98052

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

04/07/2011