BRIAN RUSSELL PHILLIPS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209026881

License Status

ACTIVE

Business

First Name

BRIAN

Middle

RUSSELL

Last Name

PHILLIPS

Business Name

BRIAN RUSSELL PHILLIPS

Original Issue Date

03/08/2023

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

03/02/2026