XAMNAN TULYASATHIEN MD
Licensed Physician Controlled Substance
Illinois 336012496 Not Renewed
This Illinois license was held by XAMNAN TULYASATHIEN MD. The license is no longer active. It was granted on 01/01/1997 and expired on 07/31/2008
LICENSE DETAILS
- License Number: 336012496
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 01/01/1997 (over 27 years ago)
- Expiry Date: 07/31/2008 (over 15 years ago)
LOCATIONS
A Address
REDMOND, WA 98052