PRENTISS B TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

PRENTISS B

Last Name

TAYLOR

Suffix

Business Name

PRENTISS B TAYLOR MD

Original Issue Date

01/28/2009

Effective Date

01/28/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020