MAX WATTENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177771

License Status

ACTIVE

Business

Title

First Name

MAX

Last Name

WATTENBERG

Business Name

MAX WATTENBERG MD

Original Issue Date

11/04/2025

Effective Date

11/04/2025

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/04/2025