THERESA HUTZLER 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

THERESA

Last Name

HUTZLER

Business Name

THERESA HUTZLER

Original Issue Date

09/03/2021

Effective Date

09/03/2021

Expiration Date

08/31/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022