KEENAN WAYNE TAYLOR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149312

License Status

NOT RENEWED

Business

First Name

KEENAN

Middle

WAYNE

Last Name

TAYLOR

Suffix

Business Name

KEENAN WAYNE TAYLOR MD

Original Issue Date

05/10/2019

Effective Date

05/10/2019

Expiration Date

09/30/2020

City

MADISON

State

Zip

53792

Ever Disciplined

LastModifiedDate

01/14/2021