THADDEUS P WATERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131903

License Status

NOT RENEWED

Business

Title

First Name

THADDEUS

Middle

Last Name

WATERS

Business Name

THADDEUS P WATERS MD

Original Issue Date

01/07/2013

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023