ALVIN RICHARD TARLOV MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035247

License Status

NOT RENEWED

Business

First Name

ALVIN RICHARD

Last Name

TARLOV

Suffix

Business Name

ALVIN RICHARD TARLOV MD

Original Issue Date

06/18/1958

Effective Date

06/18/1958

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006