TAYLOR A ALDRIDGE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

INOPERATIVE

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

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019