Jerdjan Mangkorn Kanok
ExpiredCalifornia license A31003
License
- Licensed by
- Medical Board of California
- License number
- A31003
- Status
- Expired (Delinquent)
- First issued
- April 18, 1977
- Expired
- June 30, 2024
- License holder
- Jerdjan Mangkorn Kanok
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
840 Harvard Street
Santa Monica, CA 90403
Santa Monica, CA 90403
Los Angeles County