TRENT A TAYLOR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093583

License Status

NOT RENEWED

Business

First Name

TRENT A

Last Name

TAYLOR

Business Name

TRENT A TAYLOR

Original Issue Date

07/13/1996

Effective Date

07/13/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006