DIANE THOMAS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

INACTIVE

Business

First Name

DIANE

Last Name

THOMAS

Business Name

DIANE THOMAS

Original Issue Date

09/10/2008

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60652

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2018