License Directory

Phoutthasone Thirakul

Active

California license A125018

License

Licensed by
Medical Board of California
License number
A125018
Status
Active (Current)
First issued
March 20, 2013
Expires
February 28, 2027
License holder
Phoutthasone Thirakul
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

3325 49th Ave E
Bradenton, FL 34203-3945
Sarasota County