PHYLLIS A GABBART Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

PHYLLIS

Middle

Last Name

GABBART

Business Name

PHYLLIS A GABBART

Original Issue Date

07/26/2001

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026