MARION ELSA GABOU DESSALINES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

MARION

Middle

ELSA GABOU

Last Name

DESSALINES

Business Name

MARION ELSA GABOU DESSALINES

Original Issue Date

02/13/2025

Effective Date

01/18/2026

Expiration Date

03/01/2028

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/18/2026