Search Results
Last Update: Tuesday, May 14, 2024 7:02 PM CDT
Next Update: Wednesday, May 15, 2024 2:50 AM CDT
Return to Search Licensees page
CHONGSUWAT, TANA
|
| Practice Address: |
1102 S PARK ST.
MADISON WI 53715
Address last updated on 11/2/2022 |
| Phone #: |
(608) 263-3111 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
32319 |
| Dated: |
7/1/2018 |
| Expires: |
7/1/2023 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Xavier Univ Sch of Med, Bonaire, Netherlands Antilles (2003-2010) |
| Graduated: |
5 /
2015 |
| CME Year: |
2024 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
ABPS - Family Medicine |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
