ROGER DALE WATTERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062428

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

DALE

Last Name

WATTERS

Suffix

Business Name

ROGER DALE WATTERS MD

Original Issue Date

07/01/1981

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

11/30/2023