MICHELLE THERESA WATTERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039314

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

THERESA

Last Name

WATTERS

Suffix

Business Name

MICHELLE THERESA WATTERS MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

09/22/2006