CARL SCOTT TACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153639

License Status

ACTIVE

Business

Title

First Name

CARL

Middle

SCOTT

Last Name

TACK

Business Name

CARL SCOTT TACK MD

Original Issue Date

07/08/2020

Effective Date

11/26/2024

Expiration Date

07/31/2026

City

MANORVILLE

State

Zip

11949

Ever Disciplined

LastModifiedDate

02/28/2025