DAVID DAX TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

DAVID DAX

Last Name

TAYLOR

Suffix

Business Name

DAVID DAX TAYLOR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

WOODDALE

State

Zip

60191

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006