SHELBY FATHAUER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

SHELBY

Last Name

FATHAUER

Business Name

SHELBY FATHAUER

BusinessDBA

ALDERSON

Original Issue Date

10/15/2024

Effective Date

03/14/2026

Expiration Date

05/31/2028

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/14/2026