BOONRAK TANTISIRA
Medical Physician And Surgeon
Pennsylvania MD029869L Inactive
This Pennsylvania license was held by BOONRAK TANTISIRA. The license is no longer active. It was granted on 07/28/1967 and expired on 12/31/1998
LICENSE DETAILS
- License Number: MD029869L
- Category: Medical Physician and Surgeon
- Status: Inactive
- Date Granted: 07/28/1967 (almost 57 years ago)
- Expiry Date: 12/31/1998 (over 25 years ago)
LOCATIONS
A Address
PITTSBURGH PA 15238