Boondarik Sandy Phuengsomboonying
ActiveMichigan license 4351053071
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4351053071
- Status
- Active
- First issued
- May 29, 2024
- Expires
- June 30, 2027
- License holder
- Boondarik Sandy Phuengsomboonying
- Entity type
- Individual
Classifications
- Medical Doctor Ed Ltd (Medicine) Physicians & Surgeons