THOMAS EDWARD DUST Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

ACTIVE

Business

First Name

THOMAS

Middle

EDWARD

Last Name

DUST

Business Name

THOMAS EDWARD DUST

Original Issue Date

10/12/2016

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026