TRENT A TAYLOR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031149

License Status

EXPIRED

Business

First Name

TRENT A

Last Name

TAYLOR

Business Name

TRENT A TAYLOR

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006