BRADLEY DAVID THOMPSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

DAVID

Last Name

THOMPSON

Business Name

BRADLEY DAVID THOMPSON

Original Issue Date

12/03/2020

Effective Date

03/05/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026