JOSEPH NICHOLAS TAYLOR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOSEPH

Middle

NICHOLAS

Last Name

TAYLOR

Business Name

JOSEPH NICHOLAS TAYLOR DDS

Original Issue Date

12/11/2017

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022