EVANGELINE M TAYLOR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

INOPERATIVE

Business

First Name

EVANGELINE

Middle

Last Name

TAYLOR

Business Name

EVANGELINE M TAYLOR

Original Issue Date

05/17/2007

Effective Date

01/02/2020

Expiration Date

03/01/2022

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

01/03/2022