LACI L WATSON

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****39

ACTIVE

N

LACI

L

WATSON

LACI L WATSON

11/19/2024

11/19/2024

05/31/2026

TAYLORVILLE

IL

62568

CHRISTIAN

N

03/02/2026