MICHAEL DOMINIC TARANTINO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101239

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DOMINIC

Last Name

TARANTINO

Suffix

Business Name

MICHAEL DOMINIC TARANTINO MD

Original Issue Date

09/09/1999

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/07/2023