DAVID MICHAEL WATERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068684

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

WATERS

Business Name

DAVID MICHAEL WATERS MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/24/2016