Corey Suthumphong
ActiveMichigan license 4351049966
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4351049966
- Status
- Active
- First issued
- June 2, 2022
- Expires
- June 30, 2027
- License holder
- Corey Suthumphong
- Entity type
- Individual
Classifications
- Medical Doctor Ed Ltd (Medicine) Physicians & Surgeons
Contact
44405 Woodward Avenue
Medical Education Department – H23
Pontiac, MI 48341
Medical Education Department – H23
Pontiac, MI 48341
Oakland County