Taylor Marie Manivannan

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****64

Status

Active

First issued

October 19, 2015

Expires

March 1, 2028

License holder

Taylor Marie Manivannan

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Delegated controlled substance schedules

II III IV V

Current term began

12/29/2025

Other Illinois licenses under this name

• IL
  Taylor Marie Manivannan

  License 085005629

  Licensed Physician Assistant
  Active

  Springfield, IL

  Expires Mar 1, 2028

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