STEPHEN J TALTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

STEPHEN J

Last Name

TALTY

Suffix

Business Name

STEPHEN J TALTY MD

Original Issue Date

07/06/1990

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60074

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023