UNCHALIPONGSE PISAN
Medicine (Physician, Including M Ds & D Os)
New York 112168 Inactive
This New York license was held by UNCHALIPONGSE PISAN. The license is no longer active. It was granted on 05/19/1972
LICENSE DETAILS
- License Number: 112168
- Category: Medicine (physician, including MDs & DOs)
- Status: Inactive
- Date Granted: 05/19/1972 (almost 52 years ago)
LOCATIONS
A Address
STATEN ISLAND NY