TERESA M WATTS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

ACTIVE

Business

First Name

TERESA

Middle

Last Name

WATTS

Business Name

TERESA M WATTS

Original Issue Date

10/02/2015

Effective Date

05/26/2024

Expiration Date

05/31/2026

City

FAYETTEVILLE

State

Zip

28314

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026