License holder summary

ALEXEY PAVLOVICH TATUSOV is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for ALEXEY PAVLOVICH TATUSOV is Philadelphia PA 19107. This medical practitioner license is not current. The license was granted 06/06/2012 and expired on 06/30/2015.

Department of State

Board of Medicine

ALEXEY PAVLOVICH TATUSOV
Graduate Medical Trainee
License number
MT202211
Date granted
06/06/2012
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Expired
Address
Philadelphia PA 19107
medicinepa.com
ID 37573519
LAST UPDATED 2026-03-08 22:21:02 UTC

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