TANIA MENDELSON BONISKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159091

License Status

NOT RENEWED

Business

Title

First Name

TANIA

Middle

MENDELSON

Last Name

BONISKE

Business Name

TANIA MENDELSON BONISKE MD

Original Issue Date

01/03/2022

Effective Date

01/03/2022

Expiration Date

07/31/2023

City

ATLANTA

State

Zip

30339

Ever Disciplined

LastModifiedDate

11/30/2023