| Name | TAYLOR RAE DILLARD |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| IP.409667-M-IV | Practical Nurse w/ MEDS & IV - Temporary Work Permit | 06/30/2015 | 06/30/2015 | 12/30/2015 | CLOSED | ||||||||||
| PN.159705-M-IV | Licensed Practical Nurse - M-IV | 08/07/2015 | 08/07/2015 | 08/31/2016 | ACTIVE | Endorsement | |||||||||