License holder summary

Chanbusarakum, Puangpetch is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is current. The license was granted 07/15/1977 and expired on 10/31/2015.

Wisconsin

Department of Safety and Professional Services

Chanbusarakum, Puangpetch
Medicine And Surgery
License number
21116-20
Date granted
07/15/1977
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12768213
LAST UPDATED 2026-04-07 20:15:10 UTC

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