TAYLOR TUTEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009307

License Status

ACTIVE

Business

First Name

TAYLOR

Last Name

TUTEN

Business Name

TAYLOR TUTEN

Original Issue Date

10/24/2022

Effective Date

01/12/2024

Expiration Date

03/01/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

12/03/2025