CAROL A TALACKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

CAROL A

Last Name

TALACKI

Suffix

Business Name

CAROL A TALACKI MD

Original Issue Date

11/17/1989

Effective Date

11/17/1989

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006