MICHELLE THERESA WATTERS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107132

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

THERESA

Last Name

WATTERS

Suffix

Business Name

MICHELLE THERESA WATTERS MD

Original Issue Date

06/06/2002

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

ALEXANDRIA

State

Zip

22314

Ever Disciplined

LastModifiedDate

04/24/2023