JOHN G ATWATER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

ATWATER

Suffix

Business Name

JOHN G ATWATER MD

Original Issue Date

08/06/1999

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

VERO BEACH

State

Zip

32963

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020