MICHELLE THERESA WATTERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

THERESA

Last Name

WATTERS

Suffix

Business Name

MICHELLE THERESA WATTERS MD

Original Issue Date

07/16/2002

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020