JOSHUA DANE BAXTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

JOSHUA

Middle

DANE

Last Name

BAXTER

Business Name

JOSHUA DANE BAXTER

Original Issue Date

05/23/2018

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60612

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026