TIESHA K TAYLOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

TIESHA

Middle

Last Name

TAYLOR

Business Name

TIESHA K TAYLOR

Original Issue Date

12/07/2025

Effective Date

12/07/2025

Expiration Date

05/31/2026

City

MATTESON

State

Zip

60443

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026