License holder summary

Somprak Boonpongmanee is a Physician licensed to practice in Indiana. The address on file for Somprak Boonpongmanee is ARLINGTON VA 22204. This licensed professional license is not current. The license was granted 01/22/1998 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Somprak Boonpongmanee
Physician
License number
01048023A
Date granted
01/22/1998
Date expires
06/30/1999
Class
Physician
Status
Expired Non-Renewable
Address
ARLINGTON VA 22204
indianalicensing.org
ID 6024341
LAST UPDATED 2024-04-11 15:04:54 UTC

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