TRINA GEBAUER BLAIR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

TRINA

Middle

GEBAUER

Last Name

BLAIR

Business Name

TRINA GEBAUER BLAIR

Original Issue Date

10/22/2004

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026