MELISSA MARANATHA WATTS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

MELISSA

Middle

MARANATHA

Last Name

WATTS

Business Name

MELISSA MARANATHA WATTS MD

Original Issue Date

06/04/2021

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023