ANJU MATHEW THOMAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

NOT RENEWED

Business

First Name

ANJU

Middle

MATHEW

Last Name

THOMAS

Business Name

ANJU MATHEW THOMAS

Original Issue Date

03/30/2020

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025