AMORN NEIL SALYAPONGSE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109863

License Status

INACTIVE

Business

First Name

AMORN

Middle

NEIL

Last Name

SALYAPONGSE

Suffix

Business Name

AMORN NEIL SALYAPONGSE MD

Original Issue Date

08/06/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MADISON

State

Zip

53715

Ever Disciplined

LastModifiedDate

05/11/2008