CAROL A TALLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069963

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

TALLEY

Suffix

Business Name

CAROL A TALLEY MD

Original Issue Date

12/10/1984

Effective Date

12/10/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006