ZACHARY TAYLOR BACKLIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019479

License Status

INACTIVE

Business

First Name

ZACHARY

Middle

TAYLOR

Last Name

BACKLIN

Business Name

ZACHARY TAYLOR BACKLIN

Original Issue Date

05/23/2019

Effective Date

09/14/2020

Expiration Date

05/31/2022

City

TOLEDO

State

Zip

62468

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

09/14/2020