HEATHER DANIELLE TAYLOR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

Title

DMD

First Name

HEATHER

Middle

DANIELLE

Last Name

TAYLOR

Business Name

HEATHER DANIELLE TAYLOR DMD

Original Issue Date

06/30/2015

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024