JOSHUA CARROLL TADLOCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001385

License Status

EXPIRED

Business

Title

First Name

JOSHUA

Middle

CARROLL

Last Name

TADLOCK

Business Name

JOSHUA CARROLL TADLOCK MD

Original Issue Date

04/05/2021

Effective Date

04/05/2021

Expiration Date

07/04/2021

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/11/2022