MARK DEWITT TALMAGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

DEWITT

Last Name

TALMAGE

Business Name

MARK DEWITT TALMAGE MD

Original Issue Date

06/20/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023