TAYLOR A ALDRIDGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004535

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

ALDRIDGE

Business Name

TAYLOR A ALDRIDGE

Original Issue Date

10/26/2012

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

11/24/2020