PATRICIA A TARALLO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023139

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

TARALLO

Suffix

DMD

Business Name

PATRICIA A TARALLO DMD

Original Issue Date

02/02/1993

Effective Date

09/29/2009

Expiration Date

09/30/2012

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/03/2018