VALERIE T TACA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116779

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

Last Name

TACA

Suffix

Business Name

VALERIE T TACA MD

Original Issue Date

08/18/2006

Effective Date

07/09/2008

Expiration Date

07/31/2011

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

11/14/2011