TAYLOR PRUIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076797

License Status

EXPIRED

Business

Title

First Name

TAYLOR

Last Name

PRUIS

Business Name

TAYLOR PRUIS MD

Original Issue Date

06/30/2023

Effective Date

06/30/2023

Expiration Date

06/29/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024