MICHELLE TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048796

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Last Name

TAYLOR

Business Name

MICHELLE TAYLOR MD

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

08/18/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006