ROMAN TARASOVYCH PYASTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103321

License Status

NOT RENEWED

Business

First Name

ROMAN

Middle

TARASOVYCH

Last Name

PYASTA

Suffix

Business Name

ROMAN TARASOVYCH PYASTA MD

Original Issue Date

08/22/2000

Effective Date

08/22/2000

Expiration Date

07/31/2005

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/09/2006