KRYSTYNA S ROMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076118

License Status

INACTIVE

Business

Title

First Name

KRYSTYNA

Middle

Last Name

ROMAN

Business Name

KRYSTYNA S ROMAN MD

Original Issue Date

10/07/1987

Effective Date

05/26/2020

Expiration Date

07/31/2023

City

TIERRA VERDE

State

Zip

33715

Ever Disciplined

LastModifiedDate

05/09/2023