THOMAS T STEWART Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

THOMAS

Middle

Last Name

STEWART

Business Name

THOMAS T STEWART

Original Issue Date

08/02/2016

Effective Date

05/25/2022

Expiration Date

05/31/2024

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2022