WILLIAM JOSEPH WATERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

WILLIAM JOSEPH

Last Name

WATERS

Business Name

WILLIAM JOSEPH WATERS

Original Issue Date

10/26/1983

Effective Date

12/07/2015

Expiration Date

09/30/2018

City

TROY

State

Zip

62294

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018