SIRJOHN DWAYNE THOMAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

SIRJOHN

Middle

DWAYNE

Last Name

THOMAS

Business Name

SIRJOHN DWAYNE THOMAS

Original Issue Date

09/23/2025

Effective Date

09/23/2025

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026