BRIAN ROBERT WATERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ROBERT

Last Name

WATERMAN

Business Name

BRIAN ROBERT WATERMAN MD

Original Issue Date

05/25/2016

Effective Date

05/25/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017