MICHELLE THERESA WATTERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

THERESA

Last Name

WATTERS

Suffix

Business Name

MICHELLE THERESA WATTERS MD

Original Issue Date

08/14/2014

Effective Date

08/14/2014

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

04/05/2020