DAVID SMITH TALTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000331

License Status

EXPIRED

Business

First Name

DAVID

Middle

SMITH

Last Name

TALTON

Suffix

Business Name

DAVID SMITH TALTON MD

Original Issue Date

12/01/2007

Effective Date

12/01/2007

Expiration Date

05/30/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/26/2008