SHERRIE L BALLANTINE-TALMADGE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123946

License Status

NOT RENEWED

Business

Title

First Name

SHERRIE

Middle

Last Name

BALLANTINE-TALMADGE

Business Name

SHERRIE L BALLANTINE-TALMADGE DO

Original Issue Date

07/08/2009

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014