STEVEN TALLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

STEVEN

Last Name

TALLER

Suffix

Business Name

STEVEN TALLER MD

Original Issue Date

11/17/1982

Effective Date

07/17/2014

Expiration Date

07/31/2017

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017