DAVID THOMAS TAYLOR DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005019

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

THOMAS

Last Name

TAYLOR

Suffix

DPM

Business Name

DAVID THOMAS TAYLOR DPM

Original Issue Date

05/14/2001

Effective Date

05/14/2001

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006