Wisconsin
Department of Safety and Professional Services
Boonvisudhi, Kitima
Medicine And Surgery
License number
59966-20
Date granted
12/13/2012
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 13803448
LAST UPDATED 2026-03-13 15:36:04 UTC
LAST UPDATED 2026-03-13 15:36:04 UTC
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