VENITA R EDWARDS TALLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073854

License Status

ACTIVE

Business

First Name

VENITA R EDWARDS

Last Name

TALLEY

Suffix

Business Name

VENITA R EDWARDS TALLEY MD

Original Issue Date

10/01/1986

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

MACON

Ever Disciplined

LastModifiedDate

04/12/2023