REBECCA S TARLTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

CANCELLED

Business

First Name

REBECCA

Middle

Last Name

TARLTON

Suffix

Business Name

REBECCA S TARLTON MD

Original Issue Date

06/13/2007

Effective Date

06/13/2007

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/17/2008