CHARLES DAVID TALAKKOTTUR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

CHARLES

Middle

DAVID

Last Name

TALAKKOTTUR

Business Name

CHARLES DAVID TALAKKOTTUR MD

Original Issue Date

12/11/2025

Effective Date

12/11/2025

Expiration Date

07/31/2026

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2025