VALARIE A PFOUTZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

VALARIE

Middle

Last Name

PFOUTZ

Business Name

VALARIE A PFOUTZ

Original Issue Date

10/15/2020

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

DIXON

State

Zip

61021

County

LEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026