ALLISON ANTOINETTE TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

ANTOINETTE

Last Name

TAYLOR

Suffix

Business Name

ALLISON ANTOINETTE TAYLOR MD

Original Issue Date

08/18/2003

Effective Date

08/18/2003

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008