CRAIG STEVEN THALACKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

STEVEN

Last Name

THALACKER

Business Name

CRAIG STEVEN THALACKER

Original Issue Date

11/10/2004

Effective Date

11/10/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008