BARBARA A TALBOT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

BARBARA A

Last Name

TALBOT

Business Name

BARBARA A TALBOT

Original Issue Date

12/08/1986

Effective Date

12/08/1986

Expiration Date

09/30/1996

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005