DAVID G WATERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096109

License Status

NOT RENEWED

Business

First Name

DAVID G

Last Name

WATERMAN

Suffix

Business Name

DAVID G WATERMAN MD

Original Issue Date

07/18/1997

Effective Date

07/18/1997

Expiration Date

07/31/1999

City

WEBSTER GROVES

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006