CASEY WATERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

ACTIVE

Business

First Name

CASEY

Last Name

WATERS

Business Name

CASEY WATERS

Original Issue Date

09/25/2023

Effective Date

04/30/2024

Expiration Date

05/31/2026

City

SPARLAND

State

Zip

61565

County

MARSHALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026