DOUGLAS WAYNE TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

WAYNE

Last Name

TAYLOR

Suffix

Business Name

DOUGLAS WAYNE TAYLOR MD

Original Issue Date

04/04/2008

Effective Date

04/04/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011