THOMAS FRANCIS DISSETTE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

THOMAS

Middle

FRANCIS

Last Name

DISSETTE

Business Name

THOMAS FRANCIS DISSETTE

Original Issue Date

04/11/2025

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

MARYVILLE

State

Zip

62062

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026