DAVID ALLEN TABER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

DAVID ALLEN

Last Name

TABER

Suffix

Business Name

DAVID ALLEN TABER MD

Original Issue Date

02/19/1982

Effective Date

02/19/1982

Expiration Date

07/31/1990

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006