TATYANA D KRIVCHENYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112575

License Status

NOT RENEWED

Business

First Name

TATYANA

Middle

Last Name

KRIVCHENYA

Suffix

Business Name

TATYANA D KRIVCHENYA MD

Original Issue Date

10/22/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DEARBORN

State

Zip

48126

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/06/2008