DAVID ANDREW WATHEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127512

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ANDREW

Last Name

WATHEN

Business Name

DAVID ANDREW WATHEN

Original Issue Date

04/11/2011

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/17/2014