BRENDA J TAYLOR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000803

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

TAYLOR

Suffix

DMD

Business Name

BRENDA J TAYLOR DMD

Original Issue Date

07/30/1994

Effective Date

07/30/1994

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005