KIRAN VISWANATH TALANKI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

KIRAN

Middle

VISWANATH

Last Name

TALANKI

Business Name

KIRAN VISWANATH TALANKI

Original Issue Date

03/03/2011

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023