SUPAWAN RATANAPRASAT DURDEN

Department Of Health - Medical Doctor

Florida  ME85900   Delinquent

This Florida license was held by SUPAWAN RATANAPRASAT DURDEN. The license is no longer active. It was granted on 07/01/1996 and expired on 01/31/2013

LICENSE DETAILS

  • License Number: ME85900
  • Category: Medical Doctor
  • Status: Delinquent
  • Date Granted: 07/01/1996 (almost 29 years ago)
  • Expiry Date: 01/31/2013 (over 12 years ago)

LOCATIONS

A Primary Practice Address

2120 E. RANDOLPH CIRCLE, TALLAHASSEE, FL 32308