SHANTIERA NICOLE TAYLOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083988

License Status

ACTIVE

Business

Title

First Name

SHANTIERA

Middle

NICOLE

Last Name

TAYLOR

Business Name

SHANTIERA NICOLE TAYLOR MD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

06/24/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/24/2024