CRAIG STEVEN THALACKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112626

License Status

NOT RENEWED

Business

First Name

CRAIG

Middle

STEVEN

Last Name

THALACKER

Business Name

CRAIG STEVEN THALACKER

Original Issue Date

11/08/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NEENAH

State

Zip

54956

Ever Disciplined

LastModifiedDate

03/10/2010