STEFANI STEVANIJA TICA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175388

License Status

ACTIVE

Business

Title

First Name

STEFANI

Middle

STEVANIJA

Last Name

TICA

Business Name

STEFANI STEVANIJA TICA MD

Original Issue Date

06/11/2025

Effective Date

06/11/2025

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

06/11/2025