MATTHEW T TALARICO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

TALARICO

Business Name

MATTHEW T TALARICO

Original Issue Date

01/25/2001

Effective Date

01/25/2001

Expiration Date

07/31/2008

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011