CLAIRE EILEEN TARANTINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

CLAIRE

Middle

EILEEN

Last Name

TARANTINO

Suffix

Business Name

CLAIRE EILEEN TARANTINO MD

Original Issue Date

08/07/2007

Effective Date

07/07/2008

Expiration Date

07/31/2011

City

SAN LUIS OBISPO

State

Zip

93401

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011