BARBARA A TALBOT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

BARBARA A

Last Name

TALBOT

Business Name

BARBARA A TALBOT

Original Issue Date

09/18/1986

Effective Date

09/18/1986

Expiration Date

09/30/1988

City

BURR RIDGE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/17/2005