BRIAN ROBERT WATERMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000863

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

ROBERT

Last Name

WATERMAN

Business Name

BRIAN ROBERT WATERMAN MD

Original Issue Date

04/01/2011

Effective Date

04/01/2011

Expiration Date

09/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

11/17/2011