NEIL TABAKIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

NEIL

Last Name

TABAKIN

Business Name

NEIL TABAKIN MD

Original Issue Date

07/21/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023