OLIVIA TAYLOR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

OLIVIA

Last Name

TAYLOR

Business Name

OLIVIA TAYLOR

Original Issue Date

08/01/1986

Effective Date

08/01/1986

Expiration Date

09/30/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005