ERIC ROBERT TAYLOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055284

License Status

EXPIRED

Business

Title

First Name

ERIC

Middle

ROBERT

Last Name

TAYLOR

Business Name

ERIC ROBERT TAYLOR MD

Original Issue Date

06/25/2011

Effective Date

06/25/2011

Expiration Date

06/24/2013

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/07/2013