License holder summary

SUPAK SOOKKASIKON is a Medicine - Medical Doctor Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 08/01/2004 and expired on 06/30/2006.

Department of Licensing and Regulatory Affairs

Board of Medicine

SUPAK SOOKKASIKON
Medicine - Medical Doctor Educational Limited
License number
4301083253
Date granted
08/01/2004
Date expires
06/30/2006
Class
Medicine - Medical Doctor Educational Limited
Status
Voided
Address
michiganmedical.net
ID 38976058
LAST UPDATED 2026-04-01 16:40:46 UTC

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