BRENDA J TAYLOR DMD - Dentist License in Illinois | # 018000803

BRENDA J TAYLOR DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000803

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005