STEVEN TALLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065923

License Status

NOT RENEWED

Business

First Name

STEVEN

Last Name

TALLER

Suffix

Business Name

STEVEN TALLER MD

Original Issue Date

12/29/1982

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

11/01/2017