MICHAEL RICHARD WATERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RICHARD

Last Name

WATERS

Business Name

MICHAEL RICHARD WATERS MD

Original Issue Date

06/17/2024

Effective Date

06/17/2024

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026