License holder summary

Surasak Puvabanditsin is a Medical Doctor licensed to practice in New Jersey. This licensed professional license is current. The license was granted 11/01/1982 and expired on 06/30/2015.

New Jersey

Division of Consumer Affairs

Surasak Puvabanditsin
Medical Doctor
License number
25MA04160100
Date granted
11/01/1982
Date expires
06/30/2015
Class
Medical Doctor
Status
Active
licensingnj.com
ID 8728792
LAST UPDATED 2026-04-27 22:29:34 UTC

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