JOANNA KINGSLEY TAVAREZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170645

License Status

ACTIVE

Business

Title

First Name

JOANNA

Last Name

KINGSLEY TAVAREZ

Business Name

JOANNA KINGSLEY TAVAREZ MD

Original Issue Date

06/18/2024

Effective Date

06/18/2024

Expiration Date

07/31/2026

City

LUCAS

State

Zip

75002

Ever Disciplined

LastModifiedDate

06/18/2024