BRETT MICHAEL TAYLOR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

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

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025