MAURINE A WATERHOUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085153

License Status

NOT RENEWED

Business

First Name

MAURINE A

Last Name

WATERHOUSE

Suffix

Business Name

MAURINE A WATERHOUSE MD

Original Issue Date

08/13/1992

Effective Date

08/13/1992

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006