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
LAST UPDATED 2024-03-24 06:43:33 UTC
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