KATHY A BAULE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

KATHY

Middle

Last Name

BAULE

Business Name

KATHY A BAULE

Original Issue Date

12/22/2005

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

ROCHESTER

State

Zip

55905

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/06/2026