TAYLOR FENDERBOSCH MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255758

License Status

NOT RENEWED

Business

Title

First Name

TAYLOR

Last Name

FENDERBOSCH

Business Name

TAYLOR FENDERBOSCH MD

Original Issue Date

01/25/2018

Effective Date

01/25/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019