BRYAN ROBERT TAYLOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

BRYAN

Middle

ROBERT

Last Name

TAYLOR

Business Name

BRYAN ROBERT TAYLOR MD

Original Issue Date

05/02/2016

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2023