BRADLEY THOMAS GERLACH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

THOMAS

Last Name

GERLACH

Business Name

BRADLEY THOMAS GERLACH

Original Issue Date

10/19/2023

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026