ALLISON M WATERBURY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066535

License Status

CANCELLED

Business

Title

First Name

ALLISON

Middle

Last Name

WATERBURY

Business Name

ALLISON M WATERBURY MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/13/2015