AMELIA L. PAULEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

AMELIA

Middle

Last Name

PAULEY

Business Name

AMELIA L. PAULEY

Original Issue Date

09/19/2019

Effective Date

09/10/2020

Expiration Date

08/31/2022

City

BRIDGEPORT

State

Zip

62417

County

LAWRENCE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022