GARY MILES WATERS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041814

License Status

INACTIVE

Business

First Name

GARY

Middle

MILES

Last Name

WATERS

Suffix

Business Name

GARY MILES WATERS MD

Original Issue Date

07/01/1968

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

FRESNO

State

Zip

93720

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/07/2011