MICHAEL LEE WATERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098370

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

LEE

Last Name

WATERS

Suffix

Business Name

MICHAEL LEE WATERS MD

Original Issue Date

07/20/1998

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

07/07/2023