SIDNEY RAE TAYLOR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

SIDNEY

Middle

RAE

Last Name

TAYLOR

Business Name

SIDNEY RAE TAYLOR

Original Issue Date

12/12/2023

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2026