JOHN STUART WATERS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

JOHN STUART

Last Name

WATERS

Business Name

JOHN STUART WATERS

Original Issue Date

10/15/1985

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2024