MATTHEW T TALARICO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

TALARICO

Business Name

MATTHEW T TALARICO

Original Issue Date

09/01/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011