SHERRIE L BALLANTINE-TALMADGE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049173

License Status

EXPIRED

Business

Title

First Name

SHERRIE

Middle

Last Name

BALLANTINE-TALMADGE

Business Name

SHERRIE L BALLANTINE-TALMADGE DO

Original Issue Date

05/27/2005

Effective Date

05/27/2005

Expiration Date

06/30/2008

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008