AISHA KHALALI TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

AISHA

Middle

KHALALI

Last Name

TAYLOR

Suffix

Business Name

AISHA KHALALI TAYLOR MD

Original Issue Date

08/10/2010

Effective Date

07/26/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014