License Directory

Tatiana Michailovna Tretiakova

Active

California license A63465

License

Licensed by
Medical Board of California
License number
A63465
Status
Active (Current)
First issued
September 12, 1997
Expires
July 31, 2027
License holder
Tatiana Michailovna Tretiakova
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Health Care Agency CYBH
2801 Bristol St
Costa Mesa, CA 92626-5996
Orange County