MALLORY ROSE TAYLOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063631

License Status

EXPIRED

Business

Title

First Name

MALLORY

Middle

ROSE

Last Name

TAYLOR

Business Name

MALLORY ROSE TAYLOR MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/16/2016