MATTHEW SAXSMA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****16

License Status

NOT RENEWED

Business

First Name

MATTHEW

Last Name

SAXSMA

Business Name

MATTHEW SAXSMA

Original Issue Date

02/21/2019

Effective Date

08/17/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62711

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025