CAMERON WAILYNN TAYLOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

CAMERON

Middle

WAILYNN

Last Name

TAYLOR

Business Name

CAMERON WAILYNN TAYLOR MD

Original Issue Date

05/14/2019

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023