License holder summary

KITTISAK SAWANYAWISUTH is a Board Of Medicine licensed to practice in Idaho. The address on file for KITTISAK SAWANYAWISUTH is 10238 CASSIA GLEN DR SAN DIEGO CA 92127. This licensed professional license is current. The license was granted 10/20/2008 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

KITTISAK SAWANYAWISUTH
Board Of Medicine
License number
PSG-052
Date granted
10/20/2008
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
10238 CASSIA GLEN DR SAN DIEGO CA 92127
idaholicensing.com
ID 48339491
LAST UPDATED 2024-04-03 10:47:01 UTC

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