LARA TAYLOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

LARA

Last Name

TAYLOR

Business Name

LARA TAYLOR

Original Issue Date

01/05/2026

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026