JOSHUA DANE BAXTER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

DANE

Last Name

BAXTER

Business Name

JOSHUA DANE BAXTER

Original Issue Date

01/18/2017

Effective Date

05/22/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021