License holder summary

Dr. PHACHARAWUT JOE KANCHANANAKHIN is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. PHACHARAWUT JOE KANCHANANAKHIN is 1899 EAST ROSEVILLE PARKWAY, SUITE 150 ROSEVILLE CA 95661. This licensed professional license is current. The license was granted 01/27/2016 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

Dr. PHACHARAWUT JOE KANCHANANAKHIN
Board Of Medicine
License number
M-13160
Date granted
01/27/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
1899 EAST ROSEVILLE PARKWAY, SUITE 150 ROSEVILLE CA 95661
idaholicensing.com
ID 48335310
LAST UPDATED 2024-03-05 17:40:47 UTC

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