TAYLOR RAE PARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029415

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

RAE

Last Name

PARK

Business Name

TAYLOR RAE PARK

Original Issue Date

03/14/2024

Effective Date

03/14/2024

Expiration Date

05/31/2026

City

LAKE SAINT LOUIS

State

Zip

63367

Ever Disciplined

LastModifiedDate

03/02/2026