Worawute Supaongprapa
ActiveMichigan license EMC0001791
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0001791
- Status
- Active
- First issued
- March 16, 2022
- Expires
- March 16, 2028
- License holder
- Worawute Supaongprapa
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
149 Meadow View Drive
Mount Sterling, KY 40353
Mount Sterling, KY 40353