License holder summary

Laemthong Xieng Phavixay is a Medical Board - 59.Dpm Training Certificate licensed to practice in Ohio. The address on file for Laemthong Xieng Phavixay is Dayton VA Medical Center, c/o Medical Education Dept-Podiatry, 4100 W 3rd Street, Dayton, OH 45428. This licensed professional license is not current. The license was granted 10/08/2009 and expired on 06/30/2013.

Ohio

Board of Licensing

Laemthong Xieng Phavixay
Medical Board - 59.Dpm Training Certificate
License number
59.000287
Date granted
10/08/2009
Date expires
06/30/2013
Class
Medical Board - 59.Dpm Training Certificate
Status
Failed to Renew
Address
Dayton VA Medical Center, c/o Medical Education Dept-Podiatry, 4100 W 3rd Street, Dayton, OH 45428
ohiolicensing.org
ID 29358877
LAST UPDATED 2024-02-15 11:08:42 UTC

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