TATYANA TARANUKHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

TATYANA

Last Name

TARANUKHA

Business Name

TATYANA TARANUKHA MD

Original Issue Date

09/11/2025

Effective Date

09/11/2025

Expiration Date

07/31/2026

City

KENOSHA

State

Zip

53142

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/12/2025