TRACY N TAYLOR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

TRACY N

Last Name

TAYLOR

Suffix

DMD

Business Name

TRACY N TAYLOR DMD

Original Issue Date

06/04/1992

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024