BRENDA J TAYLOR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

TAYLOR

Suffix

DMD

Business Name

BRENDA J TAYLOR DMD

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005