TAGGART VENEGAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

ACTIVE

Business

First Name

TAGGART

Last Name

VENEGAS

Business Name

TAGGART VENEGAS

Original Issue Date

07/08/2023

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026