TAYLOR B CARROLL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****56

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

Last Name

CARROLL

Business Name

TAYLOR B CARROLL

Original Issue Date

12/17/2018

Effective Date

06/16/2024

Expiration Date

05/31/2026

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026