AMANDA BASKIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

AMANDA

Last Name

BASKIN

Business Name

AMANDA BASKIN

Original Issue Date

11/14/2025

Effective Date

11/14/2025

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026