DERRALD G TAYLOR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046006305

License Status

NOT RENEWED

Business

First Name

DERRALD G

Last Name

TAYLOR

Business Name

DERRALD G TAYLOR

Original Issue Date

03/15/2010

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

MOKENA

State

Zip

60448

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022