CAMILLE ELIZABETH TAYLOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

CANCELLED

Business

First Name

CAMILLE

Middle

ELIZABETH

Last Name

TAYLOR

Suffix

Business Name

CAMILLE ELIZABETH TAYLOR MD

Original Issue Date

01/24/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011