TAYLOR MCKENZIE BLASIUS LABORDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084461

License Status

ACTIVE

Business

Title

First Name

TAYLOR

Middle

MCKENZIE

Last Name

BLASIUS LABORDE

Business Name

TAYLOR MCKENZIE BLASIUS LABORDE MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/11/2024