BRENDA J TAYLOR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

First Name

BRENDA J

Last Name

TAYLOR

Suffix

DMD

Business Name

BRENDA J TAYLOR DMD

Original Issue Date

06/20/2006

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60628

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024