STACY TARRADATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167142

License Status

ACTIVE

Business

Title

First Name

STACY

Last Name

TARRADATH

Business Name

STACY TARRADATH MD

Original Issue Date

09/22/2023

Effective Date

09/22/2023

Expiration Date

07/31/2026

City

CULVER CITY

State

Zip

90230

Ever Disciplined

LastModifiedDate

09/16/2023