TAYLOR COOK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

TAYLOR

Last Name

COOK

Business Name

TAYLOR COOK

Original Issue Date

09/02/2021

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026