PRASIT PHOWTHONGKUM
Graduate Medical Trainee
Pennsylvania MT201870 Inactive
This Pennsylvania license was held by PRASIT PHOWTHONGKUM. The license is no longer active. It was granted on 05/25/2012 and expired on 06/30/2015
LICENSE DETAILS
- License Number: MT201870
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 05/25/2012 (almost 12 years ago)
- Expiry Date: 06/30/2015 (almost 9 years ago)
LOCATIONS
A Address
Philadelphia PA 19107