PRISCILLA COSTA TAYLOR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

Title

DDS

First Name

PRISCILLA

Middle

COSTA

Last Name

TAYLOR

Business Name

PRISCILLA COSTA TAYLOR DDS

Original Issue Date

11/14/2017

Effective Date

11/14/2017

Expiration Date

09/30/2018

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018