CHIRASAKDI RATANAWONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094164

License Status

NOT RENEWED

Business

First Name

CHIRASAKDI

Last Name

RATANAWONG

Suffix

Business Name

CHIRASAKDI RATANAWONG MD

Original Issue Date

09/06/1996

Effective Date

09/06/1996

Expiration Date

07/31/2005

City

WAUSAU

State

Zip

54403

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006