TAMARA BENYASHVILI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135063

License Status

NOT RENEWED

Business

Title

First Name

TAMARA

Last Name

BENYASHVILI

Business Name

TAMARA BENYASHVILI MD

Original Issue Date

04/22/2014

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

NEW YORK

State

Zip

10001

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2021