RANDOLPH WILKERSON TAYLOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

RANDOLPH

Middle

WILKERSON

Last Name

TAYLOR

Business Name

RANDOLPH WILKERSON TAYLOR MD

Original Issue Date

04/24/2023

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60431

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/24/2023