Chaiyaporn Boonchalermvichian
ActiveCalifornia license A112439
License
- Licensed by
- Medical Board of California
- License number
- A112439
- Status
- Active (Current)
- First issued
- May 19, 2010
- Expires
- April 30, 2028
- License holder
- Chaiyaporn Boonchalermvichian
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
421 N Pennsylvania St Apt 933
Indianapolis, IN 46204-2399
Indianapolis, IN 46204-2399
Marion County