NICOLE LEIGH THOMAS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

NICOLE

Middle

LEIGH

Last Name

THOMAS

Business Name

NICOLE LEIGH THOMAS

Original Issue Date

02/05/2015

Effective Date

04/06/2020

Expiration Date

05/31/2022

City

NORMAL

State

Zip

61761

County

LOGAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2020