DAVID A TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

TAYLOR

Suffix

Business Name

DAVID A TAYLOR MD

Original Issue Date

08/07/1991

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011