ELIZABETH ANNE PAUTLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANNE

Last Name

PAUTLER

Business Name

ELIZABETH ANNE PAUTLER

Original Issue Date

03/13/2017

Effective Date

05/11/2022

Expiration Date

06/30/2024

City

DUNLAP

State

Zip

61525

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025