TATYANA STEPANENKO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143049

License Status

INACTIVE

Business

Title

First Name

TATYANA

Last Name

STEPANENKO

Business Name

TATYANA STEPANENKO MD

Original Issue Date

04/24/2017

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

BENTON

State

Zip

72015

Ever Disciplined

LastModifiedDate

05/02/2023