JOHN I WATERS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JOHN I

Last Name

WATERS JR

Suffix

Business Name

JOHN I WATERS JR MD

Original Issue Date

11/20/1984

Effective Date

11/20/1984

Expiration Date

07/31/1999

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006