TAYLOR ALISE STANTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145215

License Status

NOT RENEWED

Business

Title

First Name

TAYLOR

Middle

ALISE

Last Name

STANTON

Business Name

TAYLOR ALISE STANTON MD

Original Issue Date

02/28/2018

Effective Date

02/28/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021