MICHAEL RICHARD WATERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170186

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

RICHARD

Last Name

WATERS

Business Name

MICHAEL RICHARD WATERS MD

Original Issue Date

05/07/2024

Effective Date

05/07/2024

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

04/02/2024