BRIAN ROBERT WATERMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140774

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ROBERT

Last Name

WATERMAN

Business Name

BRIAN ROBERT WATERMAN MD

Original Issue Date

05/25/2016

Effective Date

05/25/2016

Expiration Date

07/31/2017

City

EL PASO

State

Zip

79932

County

TEXAS

Ever Disciplined

LastModifiedDate

11/01/2017