PRENTISS B TAYLOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058964

License Status

ACTIVE

Business

First Name

PRENTISS B

Last Name

TAYLOR

Suffix

Business Name

PRENTISS B TAYLOR MD

Original Issue Date

07/20/1979

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2023