JACOB EZRA TALLMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

EZRA

Last Name

TALLMAN

Business Name

JACOB EZRA TALLMAN MD

Original Issue Date

08/14/2025

Effective Date

08/14/2025

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/06/2025