SHERRIE L BALLANTINE-TALMADGE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****23

NOT RENEWED

N

DO

SHERRIE

L

BALLANTINE-TALMADGE

SHERRIE L BALLANTINE-TALMADGE DO

07/29/2009

07/29/2009

07/31/2011

EVANSTON

IL

60208

COOK

PRACTITIONER

II III IV V

N

11/10/2011