STEFANI STEVANIJA TICA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

Title

First Name

STEFANI

Middle

STEVANIJA

Last Name

TICA

Business Name

STEFANI STEVANIJA TICA MD

Original Issue Date

08/05/2025

Effective Date

08/05/2025

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2025