TY ANTHONY OVELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162265

License Status

ACTIVE

Business

Title

First Name

Middle

ANTHONY

Last Name

OVELLA

Business Name

TY ANTHONY OVELLA MD

Original Issue Date

09/06/2022

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

08/07/2023