TAELAH KILAR WOOTEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188001021

License Status

EXPIRED

Business

Title

First Name

TAELAH

Middle

KILAR

Last Name

WOOTEN

Business Name

TAELAH KILAR WOOTEN DO

Original Issue Date

09/01/2023

Effective Date

09/01/2023

Expiration Date

02/29/2024

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

01/08/2025