BERNARD GLEN TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053087

License Status

NOT RENEWED

Business

Title

First Name

BERNARD GLEN

Last Name

TAYLOR

Business Name

BERNARD GLEN TAYLOR MD

Original Issue Date

07/15/1976

Effective Date

08/20/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023