CLIFFORD R TALBERT JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

CLIFFORD R

Last Name

TALBERT JR

Business Name

CLIFFORD R TALBERT JR

Original Issue Date

05/08/1992

Effective Date

05/08/1992

Expiration Date

07/31/1999

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011