ARIEL ALEXIS TALTS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075099

License Status

CANCELLED

Business

Title

First Name

ARIEL

Middle

ALEXIS

Last Name

TALTS

Business Name

ARIEL ALEXIS TALTS DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/30/2019