MICHAEL LEE WATERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

LEE

Last Name

WATERS

Suffix

Business Name

MICHAEL LEE WATERS MD

Original Issue Date

07/21/1998

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023