ROGER MICHAEL WATERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060538

License Status

NOT RENEWED

Business

First Name

ROGER MICHAEL

Last Name

WATERS

Suffix

Business Name

ROGER MICHAEL WATERS MD

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

07/31/1987

City

CLIFTON PARK

State

Zip

12065

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006