MARK S TALAMONTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

MARK S

Last Name

TALAMONTI

Suffix

Business Name

MARK S TALAMONTI MD

Original Issue Date

01/31/1992

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023