MYRANDA NICOLE THOMAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

ACTIVE

Business

First Name

MYRANDA

Middle

NICOLE

Last Name

THOMAS

Business Name

MYRANDA NICOLE THOMAS

Original Issue Date

04/28/2023

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026