TAYLOR WAYNE MEDEIROS - Physician Assistant License in Illinois | # 085008218

TAYLOR WAYNE MEDEIROS

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008218

License Status

ACTIVE

Business

N

First Name

TAYLOR

Middle

WAYNE

Last Name

MEDEIROS

Business Name

TAYLOR WAYNE MEDEIROS

Original Issue Date

02/23/2021

Effective Date

01/16/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025