CYNTHIA D PHILLIPS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

ACTIVE

Business

First Name

CYNTHIA

Middle

Last Name

PHILLIPS

Business Name

CYNTHIA D PHILLIPS

Original Issue Date

09/20/2018

Effective Date

03/20/2026

Expiration Date

05/31/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2026