TAYLOR DAVIS HICKS 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

TAYLOR

Middle

DAVIS

Last Name

HICKS

Suffix

Business Name

TAYLOR DAVIS HICKS MD

Original Issue Date

02/27/2018

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023