ALEXANDRA TARASOVA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034543

License Status

ACTIVE

Business

Title

DMD

First Name

ALEXANDRA

Last Name

TARASOVA

Business Name

ALEXANDRA TARASOVA DMD

Original Issue Date

07/31/2023

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

SCHENECTADY

State

Zip

12309

Ever Disciplined

LastModifiedDate

06/09/2024