CAROL C WATERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036022657

License Status

NOT RENEWED

Business

First Name

CAROL C

Last Name

WATERMAN

Suffix

Business Name

CAROL C WATERMAN MD

Original Issue Date

08/16/1938

Effective Date

08/16/1938

Expiration Date

07/31/1996

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006