JOHN TAYLOR AUTRY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

TAYLOR

Last Name

AUTRY

Business Name

JOHN TAYLOR AUTRY DO

Original Issue Date

01/06/2017

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023