BRETT MICHAEL TAYLOR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005634

License Status

ACTIVE

Business

First Name

BRETT

Middle

MICHAEL

Last Name

TAYLOR

Business Name

BRETT MICHAEL TAYLOR

Original Issue Date

09/17/2015

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/03/2025