CHAD BENJAMIN TAYLOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059591

License Status

EXPIRED

Business

Title

First Name

CHAD

Middle

BENJAMIN

Last Name

TAYLOR

Business Name

CHAD BENJAMIN TAYLOR MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/04/2015