SUZANNE L WATTS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

Last Name

WATTS

Business Name

SUZANNE L WATTS

Original Issue Date

09/07/2018

Effective Date

07/20/2022

Expiration Date

06/30/2024

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025