RENWICK WILSON TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

RENWICK

Middle

WILSON

Last Name

TAYLOR

Suffix

Business Name

RENWICK WILSON TAYLOR MD

Original Issue Date

12/12/2018

Effective Date

12/12/2018

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021