BEN M TAYLOR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051334

License Status

EXPIRED

Business

First Name

BEN

Middle

Last Name

TAYLOR

Suffix

Business Name

BEN M TAYLOR DO

Original Issue Date

06/19/2007

Effective Date

06/19/2007

Expiration Date

06/19/2007

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

07/03/2007