ALISA MARIA TAYLOR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027159

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

MARIA

Last Name

TAYLOR

Suffix

DMD

Business Name

ALISA MARIA TAYLOR DMD

Original Issue Date

07/20/2006

Effective Date

09/27/2021

Expiration Date

09/30/2024

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/04/2025