JEFFERSON BRUCE TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

JEFFERSON

Middle

BRUCE

Last Name

TAYLOR

Business Name

JEFFERSON BRUCE TAYLOR MD

Original Issue Date

04/15/2014

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

BIRMINGHAM

State

Zip

35244

County

ALABAMA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017