License holder summary

Supatida Tengsupakul is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Supatida Tengsupakul is 708 University Ave SE, Apt 18, Minneapolis, MN 55414. This doctor license is not current. The license was granted 07/10/2010 and expired on 06/30/2014.

Department of Safety and Professional Services

Board of Medical Practice

Supatida Tengsupakul
Medical - Physician And Surgeon
License number
53212
Date granted
07/10/2010
Date expires
06/30/2014
Class
Medical - Physician And Surgeon
Status
Inactive
Address
708 University Ave SE, Apt 18, Minneapolis, MN 55414
doctorsminnesota.org
ID 22318555
LAST UPDATED 2024-03-24 06:43:33 UTC

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