RAUL B TALLO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075926

License Status

INACTIVE

Business

First Name

RAUL B

Last Name

TALLO

Business Name

RAUL B TALLO

Original Issue Date

09/05/1987

Effective Date

09/05/1987

Expiration Date

07/31/1993

City

LAKELAND

State

Zip

33803

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006