JEFFREY DAVID TAYLOR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074594

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

DAVID

Last Name

TAYLOR

Business Name

JEFFREY DAVID TAYLOR DO

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2019