Idaho
Division of Occupational and Professional Licenses
CHONLACHAT PRATOOMRATANA
Board Of Medicine
License number
LRT-1183
Date granted
08/02/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
4535 CUMBERLAND DR IDAHO FALLS ID 83404
idaholicensing.com
ID 48359579
LAST UPDATED 2026-03-25 18:17:44 UTC
LAST UPDATED 2026-03-25 18:17:44 UTC
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