Taylor Marie Manivannan

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005629

Status

Active

First issued

September 11, 2015

Expires

March 1, 2028

License holder

Taylor Marie Manivannan

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/29/2025

Other Illinois licenses under this name

• IL
  Taylor Marie Manivannan

  License 38*****64

  Physician Assistant Controlled Substance
  Active

  Springfield, IL

  Expires Mar 1, 2028

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