ERIN TAYLOR NEVITT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****41

License Status

NOT RENEWED

Business

First Name

ERIN

Last Name

TAYLOR NEVITT

Business Name

ERIN TAYLOR NEVITT

Original Issue Date

05/26/2016

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021