KITTISAK SAWANYAWISUTH

Idaho  PSG-052   Renewed

This Idaho license is held by KITTISAK SAWANYAWISUTH. The license is currently active. It was granted on 10/20/2008 and expired on 06/30/2017

LICENSE DETAILS

  • License Number: PSG-052
  • Category: Board Of Medicine
  • Status: Renewed
  • Date Granted: 10/20/2008 (over 15 years ago)
  • Expiry Date: 06/30/2017 (almost 7 years ago)

LOCATIONS

A Residential

10238 CASSIA GLEN DR SAN DIEGO CA 92127