KRISTIE M TAGGART Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

Last Name

TAGGART

Business Name

KRISTIE M TAGGART

Original Issue Date

01/23/2012

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021