License holder summary

SOMPHONG TANTISIRA is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for SOMPHONG TANTISIRA is IRWIN PA 15642. This medical practitioner license is not current. The license was granted 01/09/1964 and expired on 12/31/1998.

Department of State

Board of Medicine

SOMPHONG TANTISIRA
Medical Physician And Surgeon
License number
MD028888L
Date granted
01/09/1964
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
IRWIN PA 15642
medicinepa.com
ID 37681463
LAST UPDATED 2026-04-18 09:14:18 UTC

This website is unaffiliated with the Board of Medicine. Please verify all information directly with the relevant official government authority.

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