KEZIAH M THOMAS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

ACTIVE

Business

First Name

KEZIAH

Middle

Last Name

THOMAS

Business Name

KEZIAH M THOMAS

Original Issue Date

10/01/2021

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

OAK PARK

State

Zip

60304

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/03/2026