License holder summary

CHAMNONGCHAREONWONG, THAVATCHAI, DO is a Medical - Physician licensed to practice in Georgia. The address on file for CHAMNONGCHAREONWONG, THAVATCHAI, DO is 87 LEE ROAD 566, PHENIX CITY 36867. This doctor license is not current. The license was granted 10/08/1998 and expired on 12/31/2001.

Georgia

Composite Medical Board

CHAMNONGCHAREONWONG, THAVATCHAI, DO
Medical - Physician
License number
046379
Date granted
10/08/1998
Date expires
12/31/2001
Class
Medical - Physician
Status
Lapsed
Address
87 LEE ROAD 566
georgiadoctors.net
ID 38033526
LAST UPDATED 2024-03-29 12:23:34 UTC

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