License holder summary

CHAMNAHN KONGTAHWORN is a Board Of Medicine licensed to practice in Idaho. The address on file for CHAMNAHN KONGTAHWORN is 411 Laurel - # 3250 Des Moines IA 50314. This licensed professional license is not current. The license was granted 01/25/1988 and expired on 12/01/1975.

Idaho

Division of Occupational and Professional Licenses

CHAMNAHN KONGTAHWORN
Board Of Medicine
License number
M-5319
Date granted
01/25/1988
Date expires
12/01/1975
Class
Board Of Medicine
Status
Canceled
Address
411 Laurel - # 3250 Des Moines IA 50314
idaholicensing.com
ID 48334692
LAST UPDATED 2024-03-27 21:58:55 UTC

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