ANGEL NICOLE WATKINS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

ANGEL

Middle

NICOLE

Last Name

WATKINS

Business Name

ANGEL NICOLE WATKINS

BusinessDBA

LEWIS

Original Issue Date

09/22/2020

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022