TATYANA I METELITSINA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130196

License Status

ACTIVE

Business

Title

First Name

TATYANA

Middle

Last Name

METELITSINA

Business Name

TATYANA I METELITSINA MD

Original Issue Date

04/23/2012

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/22/2023