CARRIE A WATT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

WATT

Business Name

CARRIE A WATT

Original Issue Date

06/21/2021

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026