TAYLOR BODEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

ACTIVE

Business

First Name

TAYLOR

Last Name

BODEN

Business Name

TAYLOR BODEN

Original Issue Date

12/16/2021

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026