TAYLOR N MODGLIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

Last Name

MODGLIN

Business Name

TAYLOR N MODGLIN

Original Issue Date

09/14/2024

Effective Date

09/14/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026