TANYA MARIE MERO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

MARIE

Last Name

MERO

Suffix

Business Name

TANYA MARIE MERO MD

Original Issue Date

09/16/2002

Effective Date

09/16/2002

Expiration Date

07/31/2005

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020