ROGER DALE WATTERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

DALE

Last Name

WATTERS

Suffix

Business Name

ROGER DALE WATTERS MD

Original Issue Date

07/28/1981

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

HARRISBURG

State

Zip

62946

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

1988000130

Action

Suspension

Discipline Start Date

08/24/1990

Discipline End Date

03/09/1992