RICHARD GERALD TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

GERALD

Last Name

TAYLOR

Business Name

RICHARD GERALD TAYLOR MD

Original Issue Date

12/05/2016

Effective Date

12/05/2016

Expiration Date

07/31/2017

City

BLUE ISLAND

State

Zip

60406

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017