TANUSIN PLOYSANGAM
Licensed Physician And Surgeon
Illinois 036089780 Inactive
This Illinois license was held by TANUSIN PLOYSANGAM. The license is no longer active. It was granted on 10/07/1994 and expired on 07/31/1996
LICENSE DETAILS
- License Number: 036089780
- Category: LICENSED PHYSICIAN AND SURGEON
- Status: Inactive
- Date Granted: 10/07/1994 (over 30 years ago)
- Expiry Date: 07/31/1996 (over 28 years ago)
LOCATIONS
A Address
Mason City, IA 50401-1728