DOUGLAS WAYNE TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120366

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

WAYNE

Last Name

TAYLOR

Suffix

Business Name

DOUGLAS WAYNE TAYLOR MD

Original Issue Date

03/24/2008

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011