SUSAN RUTH WATTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

RUTH

Last Name

WATTS

Suffix

Business Name

SUSAN RUTH WATTS MD

Original Issue Date

06/18/1998

Effective Date

06/18/1998

Expiration Date

07/31/2002

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006