RICHARD CASEY TALBOT DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

INOPERATIVE

Business

Title

DDS

First Name

RICHARD

Middle

CASEY

Last Name

TALBOT

Business Name

RICHARD CASEY TALBOT DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005