JOSHUA JAY BLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022977

License Status

ACTIVE

Business

First Name

JOSHUA

Middle

JAY

Last Name

BLACK

Business Name

JOSHUA JAY BLACK

Original Issue Date

03/05/2021

Effective Date

05/03/2024

Expiration Date

05/31/2026

City

MEDINA

State

Zip

44256

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026