TAYLOR A DONAHUE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****18

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

Last Name

DONAHUE

Business Name

TAYLOR A DONAHUE

Original Issue Date

04/18/2022

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62794

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026