TRISHA L PHEMISTER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

TRISHA

Middle

Last Name

PHEMISTER

Business Name

TRISHA L PHEMISTER

Original Issue Date

12/07/2021

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

CARTERVILLE

State

Zip

62918

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025