The holder whose full name is Bhasitkul, Iam P.,come from Lakeland FL,hold the Physician license(NO.01023664A) which status is Expired Non-Renewable.
| Name | Bhasitkul, Iam P. |
|---|---|
| License Number | 01023664A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Lakeland |
| State | FL |