Tara Deryavoush
ActiveMichigan license 5101020870
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101020870
- Status
- Active
- First issued
- June 27, 2017
- Expires
- June 27, 2027
- License holder
- Tara Deryavoush
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons