TAYLOR WAYNE MEDEIROS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008218

License Status

ACTIVE

Business

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

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025