BRADLEY SHANE TAYLOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016137

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

SHANE

Last Name

TAYLOR

Business Name

BRADLEY SHANE TAYLOR

Original Issue Date

07/06/2017

Effective Date

03/16/2024

Expiration Date

05/31/2026

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

03/02/2026