GAVIN LEE FLENTGE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

GAVIN

Middle

LEE

Last Name

FLENTGE

Business Name

GAVIN LEE FLENTGE

Original Issue Date

10/19/2023

Effective Date

05/18/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026