JUSTIN BARTHOLOMEW TAYLOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057410

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

BARTHOLOMEW

Last Name

TAYLOR

Business Name

JUSTIN BARTHOLOMEW TAYLOR MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/23/2010