ANTHONY JEROME WATTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004452

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

JEROME

Last Name

WATTS

Business Name

ANTHONY JEROME WATTS

Original Issue Date

09/09/2002

Effective Date

06/01/2006

Expiration Date

05/31/2008

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/11/2008