LARRY E TAYLOR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

NOT RENEWED

N

LARRY E

TAYLOR

MD

LARRY E TAYLOR MD

04/19/1982

04/19/1982

07/31/1984

SPRINGFIELD

IL

62708

SANGAMON

II III IV V

N

09/26/2006