EVANGELINE M TAYLOR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002688

License Status

NOT RENEWED

Business

First Name

EVANGELINE

Middle

Last Name

TAYLOR

Business Name

EVANGELINE M TAYLOR

Original Issue Date

02/17/2006

Effective Date

01/02/2020

Expiration Date

03/01/2022

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022