STEPHEN J TALTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021859

License Status

EXPIRED

Business

First Name

STEPHEN J

Last Name

TALTY

Suffix

Business Name

STEPHEN J TALTY MD

Original Issue Date

05/04/1988

Effective Date

05/04/1988

Expiration Date

06/21/1991

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006