BRADLEY SHANE TAYLOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

SHANE

Last Name

TAYLOR

Business Name

BRADLEY SHANE TAYLOR

Original Issue Date

09/08/2017

Effective Date

03/16/2024

Expiration Date

05/31/2026

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

03/02/2026