License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Phanlobh Vichaikul	MD		Verify Specialty Certification	,	No other states on file

License History

License Type	License Number	Status	License Date	Expiration Date
Medical Doctor	10505	Revoked by Board	07/07/1975	06/30/1987

Education History

School	Date Completed	Nature of Training
Faculty Of Medicine, Chiang Mai University	03/26/1969	Medical or Podiatric School
Luthern Hospital, Baltimore	06/30/1975	Post-Graduate Training
Greater Baltimore Medical Center, Baltimore	6/30/1972	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Revocation of License	01/14/1987	Final Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 5/6/2025.