SUARTCHA PRUEKSARITANOND MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059322

License Status

CANCELLED

Business

Title

First Name

SUARTCHA

Last Name

PRUEKSARITANOND

Business Name

SUARTCHA PRUEKSARITANOND MD

Original Issue Date

06/25/2011

Effective Date

06/25/2011

Expiration Date

06/24/2014

City

SEATTLE

State

Zip

98121

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/10/2011