TIMOTHY J TAXTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062055

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

Last Name

TAXTER

Business Name

TIMOTHY J TAXTER MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

06/17/2015