HARRY ANTHONY TAGALAKIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

HARRY

Middle

ANTHONY

Last Name

TAGALAKIS

Suffix

Business Name

HARRY ANTHONY TAGALAKIS MD

Original Issue Date

05/25/2004

Effective Date

05/25/2004

Expiration Date

07/31/2005

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020