JOHN TAYLOR AUTRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

TAYLOR

Last Name

AUTRY

Business Name

JOHN TAYLOR AUTRY DO

Original Issue Date

05/07/2021

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023