SAMUEL S WAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

WAT

Suffix

Business Name

SAMUEL S WAT MD

Original Issue Date

10/23/1989

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

AURORA

State

Zip

60502

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020