MICKEY D TAYLOR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073376

License Status

NOT RENEWED

Business

First Name

MICKEY

Middle

Last Name

TAYLOR

Business Name

MICKEY D TAYLOR

Original Issue Date

02/11/1993

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/15/2005