WILLIAM C TAFT MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****68

NOT RENEWED

N

WILLIAM

C

TAFT

MD

WILLIAM C TAFT MD

07/19/2011

07/19/2011

07/31/2014

PEORIA

IL

61637

PEORIA

PRACTITIONER

II III IV V

N

11/17/2014