LACI L WATSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

INACTIVE

Business

First Name

LACI

Middle

Last Name

WATSON

Business Name

LACI L WATSON

Original Issue Date

05/02/2017

Effective Date

03/08/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/19/2024