TANIA MENDELSON BONISKE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****63

NOT RENEWED

N

MD

TANIA

MENDELSON

BONISKE

TANIA MENDELSON BONISKE MD

04/15/2022

04/15/2022

07/31/2023

ATLANTA

GA

30339

PRACTITIONER

II III IV V

N

11/30/2023