TAYLOR RAE BODNAR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

RAE

Last Name

BODNAR

Business Name

TAYLOR RAE BODNAR

Original Issue Date

11/23/2019

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026