TAYLOR DATTOLO - Physician Assistant License in Illinois | # 085008217

TAYLOR DATTOLO

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008217

License Status

ACTIVE

Business

N

First Name

TAYLOR

Last Name

DATTOLO

Business Name

TAYLOR DATTOLO

Original Issue Date

02/18/2021

Effective Date

02/09/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/09/2026