SUDSVAT GAEWJUNDEE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007343

License Status

ACTIVE

Business

First Name

SUDSVAT

Last Name

GAEWJUNDEE

Business Name

SUDSVAT GAEWJUNDEE

Original Issue Date

01/20/1993

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

BOONEVILLE

State

Zip

72927

Ever Disciplined

LastModifiedDate

09/20/2024