TAYLOR GIPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

ACTIVE

Business

First Name

TAYLOR

Last Name

GIPSON

Business Name

TAYLOR GIPSON

Original Issue Date

05/01/2025

Effective Date

03/11/2026

Expiration Date

03/01/2028

City

STICKNEY

State

Zip

60402

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026