LISA MARIE WATSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

WATSON

Business Name

LISA MARIE WATSON

Original Issue Date

08/01/2001

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026