ERIN TAYLOR DEIST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001590

License Status

EXPIRED

Business

Title

First Name

ERIN

Middle

TAYLOR

Last Name

DEIST

Business Name

ERIN TAYLOR DEIST MD

Original Issue Date

11/20/2023

Effective Date

11/20/2023

Expiration Date

12/19/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

01/08/2025