KHAMNUNG THIRAKOMEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047116

License Status

NOT RENEWED

Business

First Name

KHAMNUNG

Last Name

THIRAKOMEN

Suffix

Business Name

KHAMNUNG THIRAKOMEN MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/01/1982

City

AUGUSTA

State

Zip

54722

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006