License Directory

Tatyana Vasilievna Ellison

Active

California license A129792

License

Licensed by
Medical Board of California
License number
A129792
Status
Active (Current)
First issued
April 14, 2014
Expires
May 31, 2027
License holder
Tatyana Vasilievna Ellison
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

1 Hoag Dr
Newport Beach, CA 92663-4162
Orange County