License holder summary

CHAKSUPA, DAN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for CHAKSUPA, DAN, MD is 2304 3521 HAWORTH DRIVE, RALEIGH 27609. This doctor license is not current. The license was granted 12/01/2005 and expired on 08/31/2011.

Georgia

Composite Medical Board

CHAKSUPA, DAN, MD
Medical - Physician
License number
057155
Date granted
12/01/2005
Date expires
08/31/2011
Class
Medical - Physician
Status
Inactive
Address
2304 3521 HAWORTH DRIVE
georgiadoctors.net
ID 38033450
LAST UPDATED 2024-02-21 09:04:20 UTC

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