GARRET WATERSTRADT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178556

License Status

ACTIVE

Business

Title

First Name

GARRET

Last Name

WATERSTRADT

Business Name

GARRET WATERSTRADT MD

Original Issue Date

01/16/2026

Effective Date

01/16/2026

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/26/2025