License holder summary

THITARAM, SOMPHONG, MD is a Medical - Physician licensed to practice in Georgia. The address on file for THITARAM, SOMPHONG, MD is 4325 COVE ISLAND DRIVE, Marietta 30067. This doctor license is not current. The license was granted 11/08/1972 and expired on 07/31/2013.

Georgia

Composite Medical Board

THITARAM, SOMPHONG, MD
Medical - Physician
License number
015046
Date granted
11/08/1972
Date expires
07/31/2013
Class
Medical - Physician
Status
Lapsed
Address
4325 COVE ISLAND DRIVE
georgiadoctors.net
ID 38086937
LAST UPDATED 2024-04-29 16:56:30 UTC

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